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1982288429
MACEN DONALD PARKE
COOS BAY, OR
NPI
1982288429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-11
Last Update Date
2024-09-04
Business Address
MACEN DONALD PARKE
1123 ANDERSON AVE
COOS BAY, OR 97420-4638
Phone number: 541-269-1409
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Mailing Address
MACEN DONALD PARKE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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