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1891153375
KENNETH JAMES MEISTER
GRANTS PASS, OR
NPI
1891153375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
Mr. KENNETH JAMES MEISTER
109 NE MANZANITA AVE
GRANTS PASS, OR 97526-1400
Phone number: 541-479-8847
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Mailing Address
Mr. KENNETH JAMES MEISTER
109 NE MANZANITA AVE
GRANTS PASS, OR 97526-1400
Phone number: 541-479-8847
Copy
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