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1659869386
CHRISTOPHER JAMES UNTIEDT
BEND, OR
NPI
1659869386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
CHRISTOPHER JAMES UNTIEDT QMHP
1569 SW NANCY WAY
BEND, OR 97702-3234
Phone number: 541-617-0377
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Mailing Address
CHRISTOPHER JAMES UNTIEDT QMHP
1569 SW NANCY WAY
BEND, OR 97702-3234
Phone number: 541-617-0377
Copy
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