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Individual

JOSEPH MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
524 MANZANITA ST, CENTRAL POINT, OR 97502-2352
(541) 423-5236
(541) 423-5248
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PROFESSIONALLICENSE

Other

Enumeration date
10/06/2022
Last updated
06/17/2024
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