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1770952350
CYNTHIA BROCKETT
REDMOND, OR
NPI
1770952350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 10-CPS-001)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
CYNTHIA BROCKETT CPS
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
CYNTHIA BROCKETT CPS
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
Copy
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