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1730666496
CARISSA BUSSARD
PRINEVILLE, OR
NPI
1730666496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
CARISSA BUSSARD
1103 NE ELM ST STE B
PRINEVILLE, OR 97754-1664
Phone number: 541-323-5330
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Mailing Address
CARISSA BUSSARD
1103 NE ELM ST STE B
PRINEVILLE, OR 97754-1664
Phone number: 541-323-5330
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