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1679164073
KIMBERLY JEAN LASHLEY
COBURG, OR
NPI
1679164073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-556)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
KIMBERLY JEAN LASHLEY
91150 INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-687-1110
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Mailing Address
KIMBERLY JEAN LASHLEY
34611 GAROUTTE RD
COTTAGE GROVE, OR 97424-8536
Phone number: 541-579-0323
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