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1225734270
ALLISON QUACKENBUSH
COBURG, OR
NPI
1225734270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-23-2272)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
ALLISON QUACKENBUSH
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
ALLISON QUACKENBUSH
1 SERENITY LN
COBURG, OR 97408-9350
Phone number:
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