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1396522355
PATRICIA IRMA VERA GONZALEZ
MADRAS, OR
NPI
1396522355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-P-18)
Enumeration Date
2023-09-13
Last Update Date
2023-10-16
Business Address
PATRICIA IRMA VERA GONZALEZ CADCII
775 SW MADISON ST
MADRAS, OR 97741-1028
Phone number: 503-866-4642
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Mailing Address
PATRICIA IRMA VERA GONZALEZ CADCII
775 SW MADISON ST
MADRAS, OR 97741-1028
Phone number: 503-866-4642
Copy
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