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1134569890
MITCHELL BENJAMIN GOOCH
EUGENE, OR
NPI
1134569890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068.0134196)
Enumeration Date
2013-06-26
Last Update Date
2023-09-28
Business Address
MITCHELL BENJAMIN GOOCH
2580 CHUCKANUT ST
EUGENE, OR 97408-7327
Phone number: 503-269-4979
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Mailing Address
MITCHELL BENJAMIN GOOCH
2580 CHUCKANUT ST
EUGENE, OR 97408-7327
Phone number: 503-269-4979
Copy
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