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Individual

KELSIE IRENE KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-7431
(541) 756-7431
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 756-7431
(541) 756-4550

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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