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1750090130
KIMBERLY ANN MEDLOCK
BEND, OR
NPI
1750090130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
KIMBERLY ANN MEDLOCK
2480 NE TWIN KNOLLS DR
BEND, OR 97701-6833
Phone number: 541-848-1801
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Mailing Address
KIMBERLY ANN MEDLOCK
16187 DAWN RD
LA PINE, OR 97739-8842
Phone number: 541-848-1801
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