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1134752579
LISA KENNEDY
GRANTS PASS, OR
NPI
1134752579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
LISA KENNEDY
132 NE B ST # 24
GRANTS PASS, OR 97526-2114
Phone number: 541-246-0652
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Mailing Address
LISA KENNEDY
132 NE B ST # 24
GRANTS PASS, OR 97526-2114
Phone number: 541-246-0652
Copy
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