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1114457546
MICHELLE DONNA ALCALA
GRANTS PASS, OR
NPI
1114457546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
MICHELLE DONNA ALCALA NON QMHA 106500000X
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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Mailing Address
MICHELLE DONNA ALCALA NON QMHA 106500000X
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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