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1114385945
KEVIN HIGGINS
EUGENE, OR
NPI
1114385945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 15-10-10)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
KEVIN HIGGINS
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
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Mailing Address
KEVIN HIGGINS
PO BOX 26109
EUGENE, OR 97402-0463
Phone number: 541-485-1577
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