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1396796629
GRANT PAUL WALKER
WHITE CITY, OR
NPI
1396796629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 960467)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mr. GRANT PAUL WALKER A.A.S., CADC
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 154-182-6211
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Mailing Address
Mr. GRANT PAUL WALKER A.A.S., CADC
PO BOX 2242
GRANTS PASS, OR 97528-0280
Phone number: 154-186-2701
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