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1386955763
JULIA MARIE MINES
PORTLAND, OR
NPI
1386955763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 03-03-32)
Enumeration Date
2010-06-30
Last Update Date
2010-06-30
Business Address
-- JULIA MARIE MINES CADC
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-226-4060
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Mailing Address
-- JULIA MARIE MINES CADC
232 NW 6TH AVE
PORTLAND, OR 97209
Phone number: 503-226-4060
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