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1659119030
BRAINBOW FORGE
COOS BAY, OR
NPI
1659119030
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Entity Type
Organization
Authorized Contact
MARIENA JOY
Therapist
541-229-7879
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
BRAINBOW FORGE
137 HALL AVE
COOS BAY, OR 97420-1519
Phone number: 541-229-7879
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Mailing Address
BRAINBOW FORGE
137 HALL AVE
COOS BAY, OR 97420-1519
Phone number:
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