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1740616226
GAYLA FAE VICK
MEDFORD, OR
NPI
1740616226
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Former Name
GAYLA FAE CHAMBERLAIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
Mrs. GAYLA FAE VICK
215 CHESTNUT AVE
MEDFORD, OR 97501-2844
Phone number: 541-772-1209
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Mailing Address
Mrs. GAYLA FAE VICK
724 S. CENTRAL, SUITE 101 FAMILY SOLUTIONS
MEDFORD, OR 97501
Phone number: 541-776-5793
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