PENNY ELAINE NICHOLS

JASPER, OR
NPI1275767659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-05-13
Last Update Date2009-05-13
Business Address
-- PENNY ELAINE NICHOLS MAT
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Mailing Address
-- PENNY ELAINE NICHOLS MAT
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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