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1699977835
KRISTIE GRAVATT
BEND, OR
NPI
1699977835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- KRISTIE GRAVATT
316 NW VERMONT STE. 50
BEND, OR 97701
Phone number: 541-330-0006
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Mailing Address
-- KRISTIE GRAVATT
316 NW VERMONT STE. 50
BEND, OR 97701
Phone number: 541-330-0006
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