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1225785611
VIVIFY THERAPEUTICS, LLC
MCMINNVILLE, OR
NPI
1225785611
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Entity Type
Organization
Authorized Contact
CASSANDRA GARDNER
Owner
971-237-7390
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
VIVIFY THERAPEUTICS, LLC
315 NE EVANS ST STE 3
MCMINNVILLE, OR 97128-4627
Phone number: 971-237-7390
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Mailing Address
VIVIFY THERAPEUTICS, LLC
221 NW 10TH ST
MCMINNVILLE, OR 97128-5015
Phone number: 971-237-7390
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