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1871030973
KELLY SOSA
MEDFORD, OR
NPI
1871030973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
KELLY SOSA
1035 N KEENE WAY DR
MEDFORD, OR 97504-6253
Phone number: 541-500-8814
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Mailing Address
KELLY SOSA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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