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1083929764
CHARLES BRADLEY CRAYTOR
EUGENE, OR
NPI
1083929764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-18
Last Update Date
2010-11-01
Business Address
-- CHARLES BRADLEY CRAYTOR
118 MERRY LN
EUGENE, OR 97404-2624
Phone number: 541-683-1445
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Mailing Address
-- CHARLES BRADLEY CRAYTOR
PO BOX 5195
EUGENE, OR 97405-0195
Phone number: 541-683-1445
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