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1144997511
COLLEEN JOHNETTE PRIOR
COBURG, OR
NPI
1144997511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 20-02-23)
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
COLLEEN JOHNETTE PRIOR CADC 1
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408-9512
Phone number: 541-687-1110
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Mailing Address
COLLEEN JOHNETTE PRIOR CADC 1
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-681-1110
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