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1205133543
MAISIE L DAVIS
COTTAGE GROVE, OR
NPI
1205133543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-23
Last Update Date
2019-03-13
Business Address
MAISIE L DAVIS
1345 BIRCH AVE
COTTAGE GROVE, OR 97424
Phone number: 541-942-3939
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Mailing Address
MAISIE L DAVIS
PO BOX 5
COTTAGE GROVE, OR 97424-0001
Phone number: 541-942-3939
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