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1891186326
SUSAN ANN MUNGARRO
LAKEVIEW, OR
NPI
1891186326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- SUSAN ANN MUNGARRO
215 NORTH G STREET
LAKEVIEW, OR 97630
Phone number: 541-947-6021
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Mailing Address
-- SUSAN ANN MUNGARRO
215 N G ST
LAKEVIEW, OR 97630-1417
Phone number:
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