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1356872477
VERNON ROSE
EUGENE, OR
NPI
1356872477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 07-09-64)
Enumeration Date
2017-03-21
Last Update Date
2020-10-29
Business Address
Mr. VERNON ROSE CADC II
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
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Mailing Address
Mr. VERNON ROSE CADC II
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
Copy
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