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1891234803
STACEY BLAIR
THE DALLES, OR
NPI
1891234803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-23
Last Update Date
2017-02-23
Business Address
STACEY BLAIR
1021 W 9TH ST
THE DALLES, OR 97058-1007
Phone number: 541-298-1920
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Mailing Address
STACEY BLAIR
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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