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1467823112
SALVADOR AMEZOLA
REDMOND, OR
NPI
1467823112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 02 P 03)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- SALVADOR AMEZOLA CADC II
340 NW 5TH ST BOX 1710
REDMOND, OR 97756-1869
Phone number: 541-516-4087
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Mailing Address
-- SALVADOR AMEZOLA CADC II
236 SE D ST
MADRAS, OR 97741-1619
Phone number: 541-475-5300
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