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1841784667
JOANN ILLINGSWORTH
BAKER CITY, OR
NPI
1841784667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
JOANN ILLINGSWORTH
3975 MIDWAY DR
BAKER CITY, OR 97814
Phone number: 541-406-4999
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Mailing Address
JOANN ILLINGSWORTH
PO BOX 1005
BAKER CITY, OR 97814-1005
Phone number: 541-406-4999
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