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1255756060
DAVID AMITY
ALBANY, OR
NPI
1255756060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 98-07-01)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
-- DAVID AMITY
104 4TH AVE SW
ALBANY, OR 97321-2804
Phone number: 541-967-3819
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Mailing Address
-- DAVID AMITY
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3819
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