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1649099540
KELLY BATES
MEDFORD, OR
NPI
1649099540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 24-CRM-3330)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
KELLY BATES CRM
750 BIDDLE RD
MEDFORD, OR 97504-6178
Phone number: 541-690-1995
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Mailing Address
KELLY BATES CRM
750 BIDDLE RD
MEDFORD, OR 97504-6178
Phone number: 541-690-1995
Copy
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