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1649903592
KATY O'BANNON
PORTLAND, OR
NPI
1649903592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: OR 525671)
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
KATY O'BANNON
911 SW 21ST AVE APT 303
PORTLAND, OR 97205-1567
Phone number: 936-581-2841
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Mailing Address
KATY O'BANNON
911 SW 21ST AVE APT 303
PORTLAND, OR 97205-1567
Phone number: 936-581-2841
Copy
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