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1912625724
MIKE BRIAN FAIN
BURNS, OR
NPI
1912625724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
Mr. MIKE BRIAN FAIN qmha-r
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
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Mailing Address
Mr. MIKE BRIAN FAIN qmha-r
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Copy
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