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1073710331
RYAN BRADLEY VAUGHAN
PRINEVILLE, OR
NPI
1073710331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-29
Last Update Date
2023-07-31
Business Address
RYAN BRADLEY VAUGHAN QMHA
1059 NW MADRAS HWY
PRINEVILLE, OR 97754-1416
Phone number: 541-323-5330
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Mailing Address
RYAN BRADLEY VAUGHAN QMHA
60933 CLEARMEADOW CT
BEND, OR 97702-2794
Phone number: 541-350-1071
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