KELLY LARSON KUSAK

EUGENE, OR
NPI1689000820
Former NameKELLY LARSON SPINGOLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-09-19
Last Update Date2013-09-19
Business Address
-- KELLY LARSON KUSAK
1170 PEARL ST
EUGENE, OR 97401-3541
Phone number: 541-743-4340
Mailing Address
-- KELLY LARSON KUSAK
1170 PEARL ST
EUGENE, OR 97401-3541
Phone number: 541-743-4340