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1164797650
SUSAN R FAHEY
GRANTS PASS, OR
NPI
1164797650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
-- SUSAN R FAHEY MSN
210 TACOMA ST
GRANTS PASS, OR 97526-9370
Phone number: 541-476-3302
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Mailing Address
-- SUSAN R FAHEY MSN
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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