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1649921495
SAGE VIDAL
ALBANY, OR
NPI
1649921495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
SAGE VIDAL QMHA
445 3RD AVE SW
ALBANY, OR 97321-2272
Phone number: 541-967-3866
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Mailing Address
SAGE VIDAL QMHA
PO BOX 100
ALBANY, OR 97321-0031
Phone number:
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