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1477696086
MARK RANDALL MCINTIRE
CORVALLIS, OR
NPI
1477696086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
MR. MARK RANDALL MCINTIRE M.S.W.
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
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Mailing Address
MR. MARK RANDALL MCINTIRE M.S.W.
1732 ELK CIR SW
ALBANY, OR 97321-3730
Phone number: 541-791-4604
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