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1750319018
CAROL VISTO
SALEM, OR
NPI
1750319018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1377)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- CAROL VISTO LPC
681 CENTER ST NE
SALEM, OR 97301-3722
Phone number: 503-588-5828
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Mailing Address
-- CAROL VISTO LPC
5029 DANIEL ST S
SALEM, OR 97306-2033
Phone number: 503-581-7454
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