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1780730671
VICKI N LONG
BAKER CITY, OR
NPI
1780730671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
VICKI N LONG
2200 4TH ST
BAKER CITY, OR 97814-2615
Phone number: 541-523-3646
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Mailing Address
VICKI N LONG
17849 DEER PARK LOOP
BAKER CITY, OR 97814-8430
Phone number:
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