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1447947783
NICHOLE MADDOCK
KLAMATH FALLS, OR
NPI
1447947783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
NICHOLE MADDOCK
3203 VANDENBERG RD
KLAMATH FALLS, OR 97603-3778
Phone number: 541-883-1030
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Mailing Address
NICHOLE MADDOCK
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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