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1255822110
PAMELA DEE KELLEY
GRANTS PASS, OR
NPI
1255822110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
PAMELA DEE KELLEY
720 NW 6TH ST
GRANTS PASS, OR 97526-1524
Phone number: 541-660-0971
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Mailing Address
PAMELA DEE KELLEY
PO BOX 540
MERLIN, OR 97532-0540
Phone number: 541-660-0971
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