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1124850938
SEAN NELITON
KEIZER, OR
NPI
1124850938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3921)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
SEAN NELITON
3793 RIVER RD N
KEIZER, OR 97303-4827
Phone number: 503-304-4358
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Mailing Address
SEAN NELITON
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358
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