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1205343563
KATIE BISHOP
ROSEBURG, OR
NPI
1205343563
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Former Name
KATIE WILCOX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-08
Last Update Date
2023-02-15
Business Address
KATIE BISHOP
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
KATIE BISHOP
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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