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1972974293
TIA KHACHITPHET
CENTRAL POINT, OR
NPI
1972974293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-13
Last Update Date
2020-03-19
Business Address
TIA KHACHITPHET
655 N 3RD ST
CENTRAL POINT, OR 97502-1876
Phone number: 541-494-6323
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Mailing Address
TIA KHACHITPHET
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-535-6239
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