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1912552043
BAHRAM KAHUSI
MEDFORD, OR
NPI
1912552043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
BAHRAM KAHUSI
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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Mailing Address
BAHRAM KAHUSI
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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