CHARLES IRVIN ODLE

MEDFORD, OR
NPI1659871408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-19
Last Update Date2018-02-19
Business Address
CHARLES IRVIN ODLE pre cadc
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
CHARLES IRVIN ODLE pre cadc
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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