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1326707340
KCY TAVERNIER
COOS BAY, OR
NPI
1326707340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
KCY TAVERNIER
377 LACLAIR ST
COOS BAY, OR 97420-4709
Phone number: 541-756-2057
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Mailing Address
KCY TAVERNIER
1040 BLANCO AVE
COOS BAY, OR 97420-2869
Phone number: 541-294-8725
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