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1043096506
LARRISA JO HALL
KLAMATH FALLS, OR
NPI
1043096506
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Former Name
LARRISA JO WILTROUT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-31
Last Update Date
2024-11-20
Business Address
LARRISA JO HALL
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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Mailing Address
LARRISA JO HALL
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Copy
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