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1023580081
TANJA DESALLES LOOKER
COBURG, OR
NPI
1023580081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-12-17)
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
TANJA DESALLES LOOKER CADC 1
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-284-5709
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Mailing Address
TANJA DESALLES LOOKER CADC 1
91150 N. COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-284-5709
Copy
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