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1013296920
MERNA PETERSON
GOLD BEACH, OR
NPI
1013296920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
-- MERNA PETERSON
29821 COLVIN
GOLD BEACH, OR 97444
Phone number: 541-247-4082
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Mailing Address
-- MERNA PETERSON
PO BOX 746
GOLD BEACH, OR 97444-0746
Phone number: 541-247-4082
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