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1154795722
MICHELE L BENNETT
GRANTS PASS, OR
NPI
1154795722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- MICHELE L BENNETT
711 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-479-5901
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Mailing Address
-- MICHELE L BENNETT
105 INGALLS LN
WILDERVILLE, OR 97543-9001
Phone number: 607-743-6855
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