DAVID NOLE MUSGROVE

LA GRANDE, OR
NPI1104198399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-02-02
Last Update Date2012-02-02
Business Address
-- DAVID NOLE MUSGROVE CADCII, NCACII, SAP
105 FIR ST STE 321
LA GRANDE, OR 97850-2663
Phone number: 541-963-4005
Mailing Address
-- DAVID NOLE MUSGROVE CADCII, NCACII, SAP
105 FIR ST STE 321
LA GRANDE, OR 97850-2663
Phone number: 541-963-4005
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