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1235500976
DAVID HEAVIRLAND
ROSEBURG, OR
NPI
1235500976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
DAVID HEAVIRLAND
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-242-0456
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Mailing Address
DAVID HEAVIRLAND
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-242-0456
Copy
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