JUAN CARLOS DIAZ OLIVERA

MADRAS, OR
NPI1275311904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  23-08-10841)
Enumeration Date2023-09-14
Last Update Date2023-09-14
Business Address
JUAN CARLOS DIAZ OLIVERA CADC-1
236 SE D ST
MADRAS, OR 97741-1619
Phone number: 541-233-9125
Mailing Address
JUAN CARLOS DIAZ OLIVERA CADC-1
236 SE D ST
MADRAS, OR 97741-1619
Phone number: 541-233-9125
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