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1407272628
SHANTEL DE LA FUENTE
GRANTS PASS, OR
NPI
1407272628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- SHANTEL DE LA FUENTE
1215 SW G. STREET
GRANTS PASS, OR 97527-2544
Phone number: 541-476-2373
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Mailing Address
-- SHANTEL DE LA FUENTE
1215 SW G. STREET
GRANTS PASS, OR 97527-2544
Phone number: 541-476-2373
Copy
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