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1699355255
LEA CISERO BLUMBERG
BEND, OR
NPI
1699355255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 21-QMHP-R-0608)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
LEA CISERO BLUMBERG QMHP
908 NE 4TH ST STE 101
BEND, OR 97701-4646
Phone number: 541-617-7365
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Mailing Address
LEA CISERO BLUMBERG QMHP
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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