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1619090248
HAROLD CLIFFORD DARST
CORVALLIS, OR
NPI
1619090248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 99-11-61)
Enumeration Date
2007-04-09
Last Update Date
2015-09-20
Business Address
-- HAROLD CLIFFORD DARST CADC II
344 NW 6TH ST
CORVALLIS, OR 97330-4814
Phone number: 541-954-7077
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Mailing Address
-- HAROLD CLIFFORD DARST CADC II
619 NW 29TH ST
CORVALLIS, OR 97330-5240
Phone number: 541-954-7077
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