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Individual

JEFFREY DEAN SOASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Mailing address
1215 SW G. STREET, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
Primary
200641795RN
OR

Other

Enumeration date
05/14/2012
Last updated
03/16/2016
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