Therone Camba Chan B.S.

NPI 1295161701 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1295161701
Gender Male
Enumeration Date 09/17/2013
Last Updated 12/17/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
140 SOUTH HOLLY STREET
MEDFORD OR, 97501, US
Phone (541) 774-8200
Fax (541) 774-7964
Business Location
140 SOUTH HOLLY STREET
MEDFORD OR, 97501, US
Phone (541) 774-8200
Fax (541) 774-7964
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Mr. Therone Camba Chan B.S. NPI is 1295161701, taxonomy code is 103K00000X Therone Camba Chan B.S. physically located at 140 South Holly Street, Medford OR, 97501. NPI Number Therone Camba Chan B.S. has the Individual type.

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1295161701 NPI number is provided on an as is basis without warranty of any kind. 1295161701 is maintained by the National Plan & Provider Enumeration System. The contents of Therone Camba Chan B.S. are for informational purposes only.