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1205301959
MICHOLE THANE
BURNS, OR
NPI
1205301959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
MICHOLE THANE QMHA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
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Mailing Address
MICHOLE THANE QMHA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Copy
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