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1033691027
MIRANDA LYNNE KING
SALEM, OR
NPI
1033691027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
MIRANDA LYNNE KING
2645 PORTLAND RD NE
SALEM, OR 97301-0198
Phone number: 503-390-5637
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Mailing Address
MIRANDA LYNNE KING
1259 D ST
INDEPENDENCE, OR 97351-1342
Phone number: 503-390-5637
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