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1730554254
NICHOLE BAIN
TIGARD, OR
NPI
1730554254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
NICHOLE BAIN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-597-3872
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Mailing Address
NICHOLE BAIN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-597-3872
Copy
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