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1861160616
PRISCILLA MARISCAL
GRANTS PASS, OR
NPI
1861160616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-04
Last Update Date
2021-09-04
Business Address
PRISCILLA MARISCAL
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
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Mailing Address
PRISCILLA MARISCAL
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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