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1558877514
MICHAEL CORDZ
ROSEBURG, OR
NPI
1558877514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-28
Last Update Date
2017-12-28
Business Address
MICHAEL CORDZ
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
MICHAEL CORDZ
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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