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1073293221
JUDITH YADIRA BRACAMONTES
GRESHAM, OR
NPI
1073293221
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Other Name
JUDY YADIRA BRACAMONTES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 23-QMHA-R-4302)
Enumeration Date
2023-07-21
Last Update Date
2023-08-30
Business Address
JUDITH YADIRA BRACAMONTES QMHA-R
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
JUDITH YADIRA BRACAMONTES QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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