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1407969868
PEGGY ELLEN BRONSON
PENDLETON, OR
NPI
1407969868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 03-07-65)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- PEGGY ELLEN BRONSON
73265 CONFEDERATED WAY
PENDLETON, OR 97801
Phone number: 541-966-9830
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Mailing Address
-- PEGGY ELLEN BRONSON
47727 CAYUSE RD
PENDLETON, OR 97801-6047
Phone number: 541-276-4167
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