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1225468549
MIKE GRASS
BEND, OR
NPI
1225468549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
-- MIKE GRASS
63034 O B RILEY RD
BEND, OR 97701-8102
Phone number: 541-728-0062
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Mailing Address
-- MIKE GRASS
63034 O B RILEY RD
BEND, OR 97701-8102
Phone number: 541-728-0062
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