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1073981791
TAMMY STANISLOO
NORTH BEND, OR
NPI
1073981791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
-- TAMMY STANISLOO
1913 MEADE ST
NORTH BEND, OR 97459-3432
Phone number: 541-756-4508
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Mailing Address
-- TAMMY STANISLOO
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-5463
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