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1982013827
SUSANNAH BANCHERO
GRANTS PASS, OR
NPI
1982013827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-05
Last Update Date
2016-06-24
Business Address
-- SUSANNAH BANCHERO
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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Mailing Address
-- SUSANNAH BANCHERO
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number:
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