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1881944049
ALISA GAIL FOWLER
THE DALLES, OR
NPI
1881944049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-14
Last Update Date
2022-07-21
Business Address
-- ALISA GAIL FOWLER
1021 W 9TH ST
THE DALLES, OR 97058-1007
Phone number: 541-298-1920
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Mailing Address
-- ALISA GAIL FOWLER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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