DANIEL GAXIOLA

BEND, OR
NPI1760984082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-03-02
Last Update Date2019-05-16
Business Address
DANIEL GAXIOLA
2577 NE COURTNEY DR
BEND, OR 97701-7752
Phone number: 541-322-7500
Mailing Address
DANIEL GAXIOLA
PO BOX 1432
BEND, OR 97709-1432
Phone number:
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