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1639710502
ZAKARY TRAPP
ROSEBURG, OR
NPI
1639710502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-19-136)
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
ZAKARY TRAPP
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
ZAKARY TRAPP
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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