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Individual

MR. ROBERT R KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
711 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 479-5901
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/21/2011
Last updated
03/17/2018
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