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1346547510
JAMES CORNELIUS
BAKER CITY, OR
NPI
1346547510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 09-P-15)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
JAMES CORNELIUS CADC
2013 1ST ST
BAKER CITY, OR 97814-3339
Phone number: 541-523-3841
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Mailing Address
JAMES CORNELIUS CADC
2013 1ST ST
BAKER CITY, OR 97814-3339
Phone number: 541-523-3841
Copy
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