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1396052775
SUSAN LUQUES BOLDT
GRANTS PASS, OR
NPI
1396052775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- SUSAN LUQUES BOLDT M.S.
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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Mailing Address
-- SUSAN LUQUES BOLDT M.S.
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
Copy
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