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1902262637
KATHLEEN HOLCOM DOMINGUEZ
REDMOND, OR
NPI
1902262637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-11
Last Update Date
2016-01-11
Business Address
-- KATHLEEN HOLCOM DOMINGUEZ QMHA
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-475-6575
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Mailing Address
-- KATHLEEN HOLCOM DOMINGUEZ QMHA
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
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