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1588019574
MICHAELEEN GONZALEZ
KLAMATH FALLS, OR
NPI
1588019574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
(Licence: OR 21988)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- MICHAELEEN GONZALEZ LMT
1775 WASHBURN WAY SUITE A
KLAMATH FALLS, OR 97603-4304
Phone number: 541-887-2507
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Mailing Address
-- MICHAELEEN GONZALEZ LMT
1775 WASHBURN WAY SUITE A
KLAMATH FALLS, OR 97603-4304
Phone number: 541-887-2507
Copy
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