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1144511882
MATT BALKWILL
KLAMATH FALLS, OR
NPI
1144511882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-28
Last Update Date
2011-04-28
Business Address
Mr. MATT BALKWILL BS, QMHA
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
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Mailing Address
Mr. MATT BALKWILL BS, QMHA
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
Copy
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