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1700423878
JAYME PETTIBONE
THE DALLES, OR
NPI
1700423878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-12-07
Last Update Date
2021-06-30
Business Address
JAYME PETTIBONE
1021 W 9TH ST
THE DALLES, OR 97058-1007
Phone number: 541-298-1920
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Mailing Address
JAYME PETTIBONE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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