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LINDA GAIL MACK

Behavioral Analyst

Eugene, Oregon

Provider NPI: 1376878397

Provider Information:
 LINDA GAIL MACK 
Gender: F
Sole Proprietor


Practice Location:
2465 HARRIS ST  EUGENE, OR 97405 US
Tel: 541-505-9911  Fax: --

Business Mailing Address:
2465 HARRIS ST  EUGENE, OR 97405 US
Tel: --  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType
101YM0800XOR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS OR - Page 1



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