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1063980852
KATELYN NICOLE SIMONS
COOS BAY, OR
NPI
1063980852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
KATELYN NICOLE SIMONS QMHA
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-266-6868
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Mailing Address
KATELYN NICOLE SIMONS QMHA
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number:
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