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1629435003
MICHELLE R DAVIS
KLAMATH FALLS, OR
NPI
1629435003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-15
Last Update Date
2016-01-15
Business Address
-- MICHELLE R DAVIS QMHA
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
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Mailing Address
-- MICHELLE R DAVIS QMHA
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3471
Copy
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