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1780121889
FATIYA DIRE
MILWAUKIE, OR
NPI
1780121889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
FATIYA DIRE
2808 SE BALFOUR ST
MILWAUKIE, OR 97222-6426
Phone number: 503-659-2575
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Mailing Address
FATIYA DIRE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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