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1003686304
GERAMIE MARK MCCORMICK
COBURG, OR
NPI
1003686304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-23-2430)
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
GERAMIE MARK MCCORMICK CRM II, CADC-R
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408-9512
Phone number: 541-284-5645
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Mailing Address
GERAMIE MARK MCCORMICK CRM II, CADC-R
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408-9512
Phone number: 541-606-6281
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