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1932658283
MIRA FUNK
CORVALLIS, OR
NPI
1932658283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-09-28
Last Update Date
2024-02-23
Business Address
MIRA FUNK
4842 SW ASTER ST
CORVALLIS, OR 97333-1364
Phone number: 541-224-8210
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Mailing Address
MIRA FUNK
4842 SW ASTER ST
CORVALLIS, OR 97333-1364
Phone number: 617-852-8749
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