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1649995598
QUINTIN TODD MULDOON
SALEM, OR
NPI
1649995598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-04
Last Update Date
2023-06-15
Business Address
QUINTIN TODD MULDOON
960 LIBERTY ST SE STE 120
SALEM, OR 97302-4165
Phone number: 503-588-2804
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Mailing Address
QUINTIN TODD MULDOON
1011 COMMERCIAL ST NE
SALEM, OR 97301-1049
Phone number: 503-983-9900
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