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1770034423
JOESPHINE GRAYSON
KLAMATH FALLS, OR
NPI
1770034423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 1087)
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
-- JOESPHINE GRAYSON
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244
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Mailing Address
-- JOESPHINE GRAYSON
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244
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