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1881049062
BETHANY COLENE KINCAID
CORVALLIS, OR
NPI
1881049062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-04-26
Last Update Date
2016-04-26
Business Address
-- BETHANY COLENE KINCAID
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-7735
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Mailing Address
-- BETHANY COLENE KINCAID
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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