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1255799029
NITA VANNICE
SPRINGFIELD, OR
NPI
1255799029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- NITA VANNICE CADC II
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-726-2467
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Mailing Address
-- NITA VANNICE CADC II
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4148
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