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1164076162
KRISTINE TERESA MILLER
COBURG, OR
NPI
1164076162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 16-07-27)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
KRISTINE TERESA MILLER CADC1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
KRISTINE TERESA MILLER CADC1
PO BOX 8549
COBURG, OR 97408-1313
Phone number:
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