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1376281907
JOSHUA ALLEN MILLER
ROSEBURG, OR
NPI
1376281907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T-21-1252)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
JOSHUA ALLEN MILLER
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-673-3469
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Mailing Address
JOSHUA ALLEN MILLER
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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