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1124692595
JACALYN LEE HEINZLE
GRANTS PASS, OR
NPI
1124692595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
JACALYN LEE HEINZLE QMHA
310 BUSHNELL WAY
GRANTS PASS, OR 97527-9103
Phone number: 541-476-2373
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Mailing Address
JACALYN LEE HEINZLE QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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