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1750060844
JENNIFER HATALA
MEDFORD, OR
NPI
1750060844
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Former Name
JENNIFER REEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
JENNIFER HATALA
2303 SPRING ST
MEDFORD, OR 97504-6378
Phone number: 541-625-9057
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Mailing Address
JENNIFER HATALA
2303 SPRING ST
MEDFORD, OR 97504-6378
Phone number: 541-625-9057
Copy
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