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1174061865
ABIGAIL HOSTETTER
SALEM, OR
NPI
1174061865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
-- ABIGAIL HOSTETTER
3871 FAIRVIEW INDUSTRIAL DR SE STE 150
SALEM, OR 97302-1172
Phone number: 503-391-9762
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Mailing Address
-- ABIGAIL HOSTETTER
675 S 12TH ST APT 5
LEBANON, OR 97355-1425
Phone number:
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