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1255791042
PIXIE MCKNIGHT
BAKER CITY, OR
NPI
1255791042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-P-14)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- PIXIE MCKNIGHT
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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Mailing Address
-- PIXIE MCKNIGHT
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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