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1861857138
DAVID VISIKO
BEND, OR
NPI
1861857138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- DAVID VISIKO
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
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Mailing Address
-- DAVID VISIKO
20370 POE SHOLES DR
BEND, OR 97703-7938
Phone number: 541-318-1377
Copy
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