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1710756937
KATHRYN RUTH VAN DYNE
LEBANON, OR
NPI
1710756937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
KATHRYN RUTH VAN DYNE
111 N MAIN ST STE B
LEBANON, OR 97355-2869
Phone number: 541-451-6388
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Mailing Address
KATHRYN RUTH VAN DYNE
111 N MAIN ST STE B
LEBANON, OR 97355-2869
Phone number: 541-451-6388
Copy
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