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1417775032
LUIS ALFONSO MENDEZ
EUGENE, OR
NPI
1417775032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
LUIS ALFONSO MENDEZ
944 W 5TH AVE
EUGENE, OR 97402-5106
Phone number: 541-687-2667
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Mailing Address
LUIS ALFONSO MENDEZ
944 W 5TH AVE
EUGENE, OR 97402-5106
Phone number: 541-687-2667
Copy
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