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1265202329
KIMBERLY DEANNE LARSEN
MEDFORD, OR
NPI
1265202329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
KIMBERLY DEANNE LARSEN
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
KIMBERLY DEANNE LARSEN
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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