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1063143014
KORTNEY KAYLA ROSE JOHNSON
NORTH BEND, OR
NPI
1063143014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
KORTNEY KAYLA ROSE JOHNSON
1592 MONROE ST
NORTH BEND, OR 97459-3657
Phone number: 541-756-2048
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Mailing Address
KORTNEY KAYLA ROSE JOHNSON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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