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1205147675
IDA MOADAB
EUGENE, OR
NPI
1205147675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2510)
Enumeration Date
2010-06-30
Last Update Date
2019-06-10
Business Address
Dr. IDA MOADAB Ph.D.
101 E BROADWAY STE 400
EUGENE, OR 97401-3104
Phone number: 541-357-9764
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Mailing Address
Dr. IDA MOADAB Ph.D.
291 W 12TH AVE
EUGENE, OR 97401-3409
Phone number: 541-357-9764
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