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1629256151
GARY ALLEN COCHRAN
DALLAS, OR
NPI
1629256151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 03-11-08)
Enumeration Date
2008-02-06
Last Update Date
2024-10-24
Business Address
GARY ALLEN COCHRAN CADC II QMHA
185 S.W. ACADEMY ST.
DALLAS, OR 97338-1996
Phone number: 503-585-3012
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Mailing Address
GARY ALLEN COCHRAN CADC II QMHA
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-585-3012
Copy
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