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1366754186
NICOLE RENEE TRIPLETT
SALEM, OR
NPI
1366754186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 12-09-73)
Enumeration Date
2010-07-09
Last Update Date
2017-12-15
Business Address
NICOLE RENEE TRIPLETT CADC II
3878 BEVERLY AVE NE STE 5
SALEM, OR 97305-1335
Phone number: 503-363-2021
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Mailing Address
NICOLE RENEE TRIPLETT CADC II
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-363-2021
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