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1093564817
REYAN EMERIL WENZEL
BAKER CITY, OR
NPI
1093564817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3986)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
REYAN EMERIL WENZEL
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-9559
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Mailing Address
REYAN EMERIL WENZEL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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