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1669830469
ANGELA WAGGONER
BAKER CITY, OR
NPI
1669830469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
ANGELA WAGGONER
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
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Mailing Address
ANGELA WAGGONER
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-6680
Copy
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