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1891149720
PAUL A ROCK
MEDFORD, OR
NPI
1891149720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 19-08-29)
Enumeration Date
2016-04-18
Last Update Date
2020-02-26
Business Address
PAUL A ROCK CADC II
1003 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
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Mailing Address
PAUL A ROCK CADC II
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282
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