JASON FAUBLE

MEDFORD, OR
NPI1720534746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  104100000X)
Enumeration Date2016-08-30
Last Update Date2017-01-04
Business Address
-- JASON FAUBLE
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-8201
Mailing Address
-- JASON FAUBLE
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-8201
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