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1982468633
EMBODIED PERFORMANCE, LLC
BEND, OR
NPI
1982468633
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Entity Type
Organization
Authorized Contact
AMY O'HANA
Owner/Clinical Director
541-515-5213
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor Professional
Enumeration Date
2024-02-12
Last Update Date
2024-04-03
Business Address
EMBODIED PERFORMANCE, LLC
61690 PETTIGREW RD
BEND, OR 97702-2422
Phone number: 541-515-5213
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Mailing Address
EMBODIED PERFORMANCE, LLC
61141 S HWY 97 PMB 162
BEND, OR 97702-2523
Phone number: 541-515-5213
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