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1104687797
KIMBERLY BENNETT
EUGENE, OR
NPI
1104687797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
KIMBERLY BENNETT
605 W 4TH AVE
EUGENE, OR 97402-5022
Phone number: 541-762-4575
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Mailing Address
KIMBERLY BENNETT
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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