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1851750087
CHRISTOPHER LANDT
MEDFORD, OR
NPI
1851750087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-02-16
Last Update Date
2022-10-25
Business Address
CHRISTOPHER LANDT
850 SWING LN UNIT 1
MEDFORD, OR 97501-1790
Phone number: 541-622-8592
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Mailing Address
CHRISTOPHER LANDT
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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