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1235835208
AMBER LEE LARSON
COBURG, OR
NPI
1235835208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-2226)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
AMBER LEE LARSON
1 SERENITY LANE, 91150 COBURG INDUSTRIAL WAY,
COBURG, OR 97408
Phone number: 541-687-1110
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Mailing Address
AMBER LEE LARSON
1 SERENITY LANE, 91150 COBURG INDUSTRIAL WAY,
COBURG, OR 97408
Phone number:
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