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1275798993
AMANDA SUE GONZALEZ
SPRINGFIELD, OR
NPI
1275798993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
AMANDA SUE GONZALEZ
175 W B ST STE I
SPRINGFIELD, OR 97477-4575
Phone number: 541-988-1025
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Mailing Address
AMANDA SUE GONZALEZ
PO BOX 1543
SPRINGFIELD, OR 97477-0167
Phone number: 541-988-1025
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