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1811215924
SUSANNAH BISHOP
MEDFORD, OR
NPI
1811215924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4996)
Enumeration Date
2010-05-13
Last Update Date
2021-02-23
Business Address
SUSANNAH BISHOP
503 AIRPORT RD STE 102
MEDFORD, OR 97504-4159
Phone number: 541-200-2900
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Mailing Address
SUSANNAH BISHOP
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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