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1063715167
BRENTON J VAUGHAN
EUGENE, OR
NPI
1063715167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-10
Last Update Date
2010-12-10
Business Address
-- BRENTON J VAUGHAN
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-342-8437
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Mailing Address
-- BRENTON J VAUGHAN
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-342-8437
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