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1144699703
EDGAR PINEDA
REDMOND, OR
NPI
1144699703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13 CPS 005)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- EDGAR PINEDA CPS
340 NW 5TH ST BOX 710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
-- EDGAR PINEDA CPS
340 NW 5TH ST PO BOX 710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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