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1245908631
MARK BRAUER
COBURG, OR
NPI
1245908631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-596)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
MARK BRAUER
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
MARK BRAUER
1332 LAWRENCE ST APT 1
EUGENE, OR 97401-3841
Phone number: 503-764-7926
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