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1639812043
TALON GIPSON
ROSEBURG, OR
NPI
1639812043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
TALON GIPSON
940 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-2098
Phone number: 541-672-8533
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Mailing Address
TALON GIPSON
2589 NW EDENBOWER BLVD
ROSEBURG, OR 97471-6224
Phone number: 541-672-8533
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