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1891170882
JACK TALLY
ASHLAND, OR
NPI
1891170882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-20
Last Update Date
2015-07-20
Business Address
-- JACK TALLY B.A., QMHA
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
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Mailing Address
-- JACK TALLY B.A., QMHA
1836 FREMONT ST
ASHLAND, OR 97520-2537
Phone number: 541-482-5792
Copy
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