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1992012835
VIDA VIOLETA BUCKNAVAGE
SPRINGFIELD, OR
NPI
1992012835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-13
Last Update Date
2013-11-18
Business Address
-- VIDA VIOLETA BUCKNAVAGE MA, MFTI
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
-- VIDA VIOLETA BUCKNAVAGE MA, MFTI
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Copy
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