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1710487897
PAUL DANIEL FICKES
MEDFORD, OR
NPI
1710487897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201805705NP-PP)
Enumeration Date
2018-02-15
Last Update Date
2021-08-20
Business Address
Mr. PAUL DANIEL FICKES PMHNP-BC
724 S CENTRAL AVE STE 101
MEDFORD, OR 97501-7808
Phone number: 541-789-4222
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Mailing Address
Mr. PAUL DANIEL FICKES PMHNP-BC
724 S CENTRAL AVE STE 101
MEDFORD, OR 97501-7808
Phone number: 541-249-7244
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