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1255196101
CHARLIE WESLEY OWEN
EUGENE, OR
NPI
1255196101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: T-23-3262)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
CHARLIE WESLEY OWEN
1420 GREEN ACRES RD
EUGENE, OR 97408-1791
Phone number: 541-762-4500
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Mailing Address
CHARLIE WESLEY OWEN
1420 GREEN ACRES RD
EUGENE, OR 97408-1791
Phone number: 541-762-4500
Copy
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