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1215631510
STEVEN ANTONELLI MONROE
GRANTS PASS, OR
NPI
1215631510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 22-04-20150)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
STEVEN ANTONELLI MONROE CADC II
1437 NE QUAIL XING
GRANTS PASS, OR 97526-3688
Phone number: 154-122-6505
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Mailing Address
STEVEN ANTONELLI MONROE CADC II
1437 NE QUAIL XING
GRANTS PASS, OR 97526-3688
Phone number: 154-122-6505
Copy
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