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1033577010
THOMAS BURNS
EUGENE, OR
NPI
1033577010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-03-02)
Enumeration Date
2016-02-04
Last Update Date
2016-02-04
Business Address
-- THOMAS BURNS
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
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Mailing Address
-- THOMAS BURNS
PO BOX 26109
EUGENE, OR 97402-0463
Phone number: 541-485-1577
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