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1497195432
ELISEO CALVILLO
SALEM, OR
NPI
1497195432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13-06-08)
Enumeration Date
2013-07-03
Last Update Date
2013-11-13
Business Address
-- ELISEO CALVILLO CACD I
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-540-5574
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Mailing Address
-- ELISEO CALVILLO CACD I
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 503-540-5574
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