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1588707855
TOM R MARTIN
EUGENE, OR
NPI
1588707855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Mr. TOM R MARTIN BS
1790 W 11TH AVENUE SHELTERCARE
EUGENE, OR 97402
Phone number: 541-686-1262
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Mailing Address
Mr. TOM R MARTIN BS
4475 DAISY ST SPACE # 61
SPRINGFIELD, OR 97478-6681
Phone number: 541-726-7128
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