GREGORY G DORMAN

MEDFORD, OR
NPI1922302017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-01-04
Last Update Date2011-01-04
Business Address
Mr. GREGORY G DORMAN BA
1911 HAZEL AVE
MEDFORD, OR 97501-1630
Phone number: 541-734-3953
Mailing Address
Mr. GREGORY G DORMAN BA
1911 HAZEL AVE
MEDFORD, OR 97501-1630
Phone number: 541-734-3953
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