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1902275464
JOVONNIE BASHAW
SPRINGFIELD, OR
NPI
1902275464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- JOVONNIE BASHAW B.S.
1157 5TH ST
SPRINGFIELD, OR 97477
Phone number: 541-510-2871
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Mailing Address
-- JOVONNIE BASHAW B.S.
1157 5TH ST
SPRINGFIELD, OR 97477
Phone number: 541-510-2871
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