CHARLES KEITH SANBORN

PRINEVILLE, OR
NPI1083279640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  500654390)
Enumeration Date2019-05-08
Last Update Date2019-05-08
Business Address
CHARLES KEITH SANBORN
357 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-504-7535
Mailing Address
CHARLES KEITH SANBORN
357 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-504-7535
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