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1043895097
BRAD YEARWOOD
GRANTS PASS, OR
NPI
1043895097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
BRAD YEARWOOD
356 NE BEACON DR
GRANTS PASS, OR 97526-3815
Phone number: 541-672-2691
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Mailing Address
BRAD YEARWOOD
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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