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1932334802
KELLY LAURIAN GAVIN-GARCIA
EUGENE, OR
NPI
1932334802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT 53865)
Enumeration Date
2009-05-21
Last Update Date
2022-01-17
Business Address
KELLY LAURIAN GAVIN-GARCIA
962 CORYDON ST
EUGENE, OR 97401-5116
Phone number: 619-301-0350
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Mailing Address
KELLY LAURIAN GAVIN-GARCIA
962 CORYDON ST
EUGENE, OR 97401-5116
Phone number: 619-301-0350
Copy
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