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1780452011
TRACY LYNN PAUL
BEND, OR
NPI
1780452011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
TRACY LYNN PAUL
61690 PETTIGREW RD
BEND, OR 97702-2422
Phone number: 541-617-0377
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Mailing Address
TRACY LYNN PAUL
21067 GIFT RD
BEND, OR 97703-8930
Phone number: 541-419-4518
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