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1679987507
JENNIFER RUTH GREEN
MEDFORD, OR
NPI
1679987507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-18
Last Update Date
2014-12-29
Business Address
-- JENNIFER RUTH GREEN
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- JENNIFER RUTH GREEN
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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