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1144523143
CORY A SURATT
EUGENE, OR
NPI
1144523143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MA 1195)
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
Mr. CORY A SURATT
2145 CENTENNIAL PLZ
EUGENE, OR 97401-2421
Phone number: 541-485-6340
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Mailing Address
Mr. CORY A SURATT
1210 W 28TH AVE
EUGENE, OR 97405-2348
Phone number: 617-548-7119
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