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1386301646
LAINIE KAY QUATTLEBAUM
MEDFORD, OR
NPI
1386301646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
LAINIE KAY QUATTLEBAUM
503 AIRPORT RD
MEDFORD, OR 97504-4159
Phone number: 541-200-2900
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Mailing Address
LAINIE KAY QUATTLEBAUM
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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