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1922714740
EMILY FASEL
MEDFORD, OR
NPI
1922714740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
EMILY FASEL
1025 E MAIN ST
MEDFORD, OR 97504-7689
Phone number: 541-779-1282
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Mailing Address
EMILY FASEL
1003 E MAIN ST
MEDFORD, OR 97504-7140
Phone number:
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