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1154010387
ALEXIS HOLSTON
COOS BAY, OR
NPI
1154010387
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Former Name
ALEXIS GARCIA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
ALEXIS HOLSTON
2020 THOMPSON RD BLDG A
COOS BAY, OR 97420-2041
Phone number: 541-267-3511
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Mailing Address
ALEXIS HOLSTON
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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