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1417479304
PATRICK P HORNBERGER
LAKEVIEW, OR
NPI
1417479304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-12
Last Update Date
2017-07-12
Business Address
PATRICK P HORNBERGER CDAC 1 intern
215 N G ST
LAKEVIEW, OR 97630-1417
Phone number: 541-947-6021
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Mailing Address
PATRICK P HORNBERGER CDAC 1 intern
215 N G ST
LAKEVIEW, OR 97630-1417
Phone number: 541-947-6021
Copy
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