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1013636034
SARAH REBECCA JO MOON
ROSEBURG, OR
NPI
1013636034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
SARAH REBECCA JO MOON
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-672-2691
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Mailing Address
SARAH REBECCA JO MOON
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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