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1134287774
BOB RICHARD VANIDERSTINE
EUGENE, OR
NPI
1134287774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Mr. BOB RICHARD VANIDERSTINE
315 W BROADWAY
EUGENE, OR 97401-8311
Phone number: 541-743-4340
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Mailing Address
Mr. BOB RICHARD VANIDERSTINE
315 W BROADWAY
EUGENE, OR 97401-8311
Phone number: 541-743-4340
Copy
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