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1417283599
TAMMY J. BOLIVAR
EUGENE, OR
NPI
1417283599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-26
Last Update Date
2009-10-26
Business Address
Ms. TAMMY J. BOLIVAR BA
1790 W 11TH AVE STE 290
EUGENE, OR 97402-3759
Phone number: 541-686-1262
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Mailing Address
Ms. TAMMY J. BOLIVAR BA
530 ANTELOPE WAY
EUGENE, OR 97401-5510
Phone number: 541-255-2019
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