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1457105900
TASHINA RAE GIBBINS
COBURG, OR
NPI
1457105900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T-24-3859)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
TASHINA RAE GIBBINS CADC-R
1 SERENITY LANE, 91150 COBURG INDUSTRIAL WAY
COBURG, OR 97408
Phone number: 541-525-2302
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Mailing Address
TASHINA RAE GIBBINS CADC-R
136 W OLYMPIC ST
SPRINGFIELD, OR 97477-2922
Phone number: 541-525-2302
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