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1053842690
STACY JIM
REDMOND, OR
NPI
1053842690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- STACY JIM
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
-- STACY JIM
850 SW 4TH ST
MADRAS, OR 97741-9628
Phone number: 541-475-6575
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