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1396256277
KYLE ROBERT DICKEY
SPRINGFIELD, OR
NPI
1396256277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
KYLE ROBERT DICKEY
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4525
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Mailing Address
KYLE ROBERT DICKEY
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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