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1861063174
CAROL MENDOZA
KEIZER, OR
NPI
1861063174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-802)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
CAROL MENDOZA
1184 MCGEE CT NE
KEIZER, OR 97303-9443
Phone number: 503-304-4358
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Mailing Address
CAROL MENDOZA
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358
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