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MAVIE LLC

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1366270365
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1220 YOKE RD, LA PINE, OR, 977398981
Phone
(888) 711-5993
Fax
(888) 711-6216

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder)
Family Medicine Primary

All Addresses

MAILING

1686 E WILDWOOD DR

COLUMBIA CITY, IN, 467258682

(888) 711-5993

LOCATION

1220 YOKE RD

LA PINE, OR, 977398981

(888) 711-5993