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1265888127
CHENOA LORRAINE BOSTICK
JUNCTION CITY, OR
NPI
1265888127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2016-05-10
Last Update Date
2021-04-21
Business Address
CHENOA LORRAINE BOSTICK
29398 RECOVERY WAY STE 3
JUNCTION CITY, OR 97448-8447
Phone number: 541-995-2221
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Mailing Address
CHENOA LORRAINE BOSTICK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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