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1316998800
PAUL RAY SKINNER
WHITE CITY, OR
NPI
1316998800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR 1291)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mr. PAUL RAY SKINNER CCS, ADCII
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
Mr. PAUL RAY SKINNER CCS, ADCII
1929 PARKWOOD AVE
CENTRAL POINT, OR 97502-1629
Phone number: 541-664-7406
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