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1104392901
ALESE JOHNSON
EUGENE, OR
NPI
1104392901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
ALESE JOHNSON
1461 OAK ST
EUGENE, OR 97401-4007
Phone number: 541-393-0777
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Mailing Address
ALESE JOHNSON
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number:
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