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1386003127
DEBBRA KELLOGG
BAKER CITY, OR
NPI
1386003127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-09-31)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- DEBBRA KELLOGG
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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Mailing Address
-- DEBBRA KELLOGG
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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