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1194049734
RACHAEL BANNON
WHITE CITY, OR
NPI
1194049734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3825)
Enumeration Date
2010-03-25
Last Update Date
2016-03-24
Business Address
-- RACHAEL BANNON M.S.
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
-- RACHAEL BANNON M.S.
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Copy
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