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1245876929
TERRENCE LYNN FISHER
ONTARIO, OR
NPI
1245876929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
TERRENCE LYNN FISHER
686 NW 9TH ST
ONTARIO, OR 97914-1600
Phone number: 541-889-2490
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Mailing Address
TERRENCE LYNN FISHER
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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