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1023409109
COREY KIYABU
EUGENE, OR
NPI
1023409109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- COREY KIYABU
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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Mailing Address
-- COREY KIYABU
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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