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1417733874
STANLEY THEODORE HIXSON
EUGENE, OR
NPI
1417733874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
STANLEY THEODORE HIXSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-434-2993
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Mailing Address
STANLEY THEODORE HIXSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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