AMANDA BLAKE

LA GRANDE, OR
NPI1588827950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
Miss AMANDA BLAKE
1100 K AVE
LA GRANDE, OR 97850-2131
Phone number: 541-962-8800
Mailing Address
Miss AMANDA BLAKE
1100 K AVE
LA GRANDE, OR 97850-2131
Phone number: 541-962-8800
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