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1073642039
CHRISTIAN W EMMINGHAM
MCMINNVILLE, OR
NPI
1073642039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- CHRISTIAN W EMMINGHAM
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
-- CHRISTIAN W EMMINGHAM
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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