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1245421809
CHARLES A YOUMANS
PRINEVILLE, OR
NPI
1245421809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 5-11-75)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
-- CHARLES A YOUMANS CADC I
205 NE 4TH ST
PRINEVILLE, OR 97754-1925
Phone number: 541-416-1095
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Mailing Address
-- CHARLES A YOUMANS CADC I
205 NE 4TH ST
PRINEVILLE, OR 97754-1925
Phone number: 541-416-1095
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