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1487897518
KEITH MICHAEL INGULLI
BEND, OR
NPI
1487897518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-20
Last Update Date
2023-03-02
Business Address
KEITH MICHAEL INGULLI
2065 NE TUCSON WAY APT 110
BEND, OR 97701-5182
Phone number: 541-383-3005
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Mailing Address
KEITH MICHAEL INGULLI
600 SW COLUMBIA ST STE 6250
BEND, OR 97702-1099
Phone number: 541-383-3005
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HEALING HEARTS COUNSELING LLC