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1154791580
PAUL JIM
REDMOND, OR
NPI
1154791580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-01-06)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
-- PAUL JIM CADC
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-475-6575
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Mailing Address
-- PAUL JIM CADC
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
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