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1811680838
AUTUMN THERAPEUTICS
BEND, OR
NPI
1811680838
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Entity Type
Organization
Authorized Contact
MELINDA ELAINE JOHNSON
Owner
541-697-4863
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-26
Last Update Date
2023-08-30
Business Address
AUTUMN THERAPEUTICS
131 NW HAWTHORNE AVE STE 103
BEND, OR 97703-2957
Phone number: 541-697-4863
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Mailing Address
AUTUMN THERAPEUTICS
131 NW HAWTHORNE AVE STE 103
BEND, OR 97703-2957
Phone number: 541-697-4863
Copy
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