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1225610595
VANESSA NICOLE HEATON
PRINEVILLE, OR
NPI
1225610595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
VANESSA NICOLE HEATON
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
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Mailing Address
VANESSA NICOLE HEATON
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
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