NICKOLE DIANE LONGEND

LA GRANDE, OR
NPI1437617693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-03-06
Last Update Date2019-03-06
Business Address
NICKOLE DIANE LONGEND MA
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8800
Mailing Address
NICKOLE DIANE LONGEND MA
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8800
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