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1447753967
BRISTTLE DALE THOMPSON
EUGENE, OR
NPI
1447753967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-03-11
Last Update Date
2024-01-11
Business Address
BRISTTLE DALE THOMPSON
1170 PEARL ST
EUGENE, OR 97401-3541
Phone number: 541-743-4340
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Mailing Address
BRISTTLE DALE THOMPSON
1170 PEARL ST
EUGENE, OR 97401-3541
Phone number: 541-743-4340
Copy
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