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1447458203
BRADEN LEVINE
BEND, OR
NPI
1447458203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
Mr. BRADEN LEVINE
1328 NW PORTLAND AVE
BEND, OR 97701-1519
Phone number: 541-848-0098
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Mailing Address
Mr. BRADEN LEVINE
63660 BRITTA STREET, BLDG 1
BEND, OR 97701-1519
Phone number: 541-848-0098
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