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1326405127
RONALD FARLEY
ROSEBURG, OR
NPI
1326405127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
-- RONALD FARLEY
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470-3713
Phone number: 541-673-5119
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Mailing Address
-- RONALD FARLEY
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470-3713
Phone number:
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