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EUGENE, OR
NPI1396573697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IA  099952)
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
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3355 CHAD DR
EUGENE, OR 97408-7428
Phone number: 541-607-0897
Mailing Address
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3355 CHAD DR
EUGENE, OR 97408-7428
Phone number: 541-607-0897