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1548747504
MISTY BISHOP
MEDFORD, OR
NPI
1548747504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
MISTY BISHOP
3156 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-476-2373
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Mailing Address
MISTY BISHOP
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number:
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