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1467217240
CHRISTOPHER MICHAEL CORONADO
COBURG, OR
NPI
1467217240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3594)
Enumeration Date
2024-02-20
Last Update Date
2024-02-22
Business Address
CHRISTOPHER MICHAEL CORONADO
91150 N COBURG INDUSTRIAL WAY
COBURG, OR 97408-9512
Phone number: 541-687-1110
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Mailing Address
CHRISTOPHER MICHAEL CORONADO
40159 HIGHWAY 228
SWEET HOME, OR 97386-9612
Phone number: 541-409-6344
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