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1861850463
TYRONE MCDONALD
MEDFORD, OR
NPI
1861850463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-10
Last Update Date
2019-05-03
Business Address
TYRONE MCDONALD
234 W 5TH ST
MEDFORD, OR 97501-2611
Phone number: 541-858-4642
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Mailing Address
TYRONE MCDONALD
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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