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1043853948
ELISE NOEL BASCOM
EUGENE, OR
NPI
1043853948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 3154)
Enumeration Date
2019-10-23
Last Update Date
2023-02-15
Business Address
ELISE NOEL BASCOM PH.D.
1551 PEARL ST
EUGENE, OR 97401-4010
Phone number: 541-517-9733
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Mailing Address
ELISE NOEL BASCOM PH.D.
1551 PEARL ST
EUGENE, OR 97401-4010
Phone number: 541-517-9733
Copy
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