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1750740205
MINDY MARTIN
MEDFORD, OR
NPI
1750740205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-02-12
Last Update Date
2023-01-24
Business Address
MINDY MARTIN
201 W 6TH ST
MEDFORD, OR 97501-2708
Phone number: 541-200-2900
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Mailing Address
MINDY MARTIN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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