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1376815696
BONITA MAE LEE
CORVALLIS, OR
NPI
1376815696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-01
Last Update Date
2012-02-02
Business Address
Mrs. BONITA MAE LEE
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5915
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Mailing Address
Mrs. BONITA MAE LEE
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5915
Copy
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