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1346535119
PATRICK JAMES MCCULLOUGH
PRINEVILLE, OR
NPI
1346535119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 4606)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
Mr. PATRICK JAMES MCCULLOUGH LCSW
11395 NW MCCOIN RD
PRINEVILLE, OR 97754-8287
Phone number: 541-410-0430
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Mailing Address
Mr. PATRICK JAMES MCCULLOUGH LCSW
11395 NW MCCOIN RD
PRINEVILLE, OR 97754-8287
Phone number: 541-410-0430
Copy
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