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1316614191
AMY DRAKE
COBURG, OR
NPI
1316614191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
AMY DRAKE
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
AMY DRAKE
2050 GOODPASTURE LOOP APT 141
EUGENE, OR 97401-1562
Phone number:
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