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1225687254
MARY PECKENPAUGH
COTTAGE GROVE, OR
NPI
1225687254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
MARY PECKENPAUGH
1345 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-3939
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Mailing Address
MARY PECKENPAUGH
PO BOX 5
COTTAGE GROVE, OR 97424-0001
Phone number:
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