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1558120428
OREGON COAST MIND AND BODY, LLC
COOS BAY, OR
NPI
1558120428
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Entity Type
Organization
Authorized Contact
ALISSE DIERS
Owner
541-236-2088
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
OREGON COAST MIND AND BODY, LLC
137 HALL AVE
COOS BAY, OR 97420-1519
Phone number: 541-236-2088
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Mailing Address
OREGON COAST MIND AND BODY, LLC
137 HALL AVE
COOS BAY, OR 97420-1519
Phone number: 541-236-2088
Copy
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