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1043544554
STEPHEN MUSCHETTO
MCMINNVILLE, OR
NPI
1043544554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 7126107)
Enumeration Date
2009-09-30
Last Update Date
2009-09-30
Business Address
-- STEPHEN MUSCHETTO
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
-- STEPHEN MUSCHETTO
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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