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1558666115
THOMAS DOLEZAL
BEND, OR
NPI
1558666115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-01-12
Last Update Date
2011-01-12
Business Address
-- THOMAS DOLEZAL
2577 NE COURTNEY DR
BEND, OR 97701-7638
Phone number: 541-322-7500
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Mailing Address
-- THOMAS DOLEZAL
2577 NE COURTNEY DR
BEND, OR 97701-7638
Phone number: 541-322-7500
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