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1528554151
JACALYN ROSE MCKENZIE
PRINEVILLE, OR
NPI
1528554151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-18-076)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
JACALYN ROSE MCKENZIE CADC Candidate
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
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Mailing Address
JACALYN ROSE MCKENZIE CADC Candidate
1333 NW 9TH ST
PRINEVILLE, OR 97754-1482
Phone number: 541-447-2631
Copy
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