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1841592813
MICHELLI VAN WIEREN
PRINEVILLE, OR
NPI
1841592813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
MICHELLI VAN WIEREN PSS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441
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Mailing Address
MICHELLI VAN WIEREN PSS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441
Copy
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