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1356895213
STACY LOUISE VINSON
MCMINNVILLE, OR
NPI
1356895213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- STACY LOUISE VINSON
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
-- STACY LOUISE VINSON
23031 SW MAIN ST APT 11
SHERWOOD, OR 97140-6210
Phone number: 503-298-1528
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