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1659038743
EVARISTO JESUS ANTUNEZ
SAINT HELENS, OR
NPI
1659038743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
EVARISTO JESUS ANTUNEZ
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-901-9385
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Mailing Address
EVARISTO JESUS ANTUNEZ
58147 COLUMBIA RIVER HWY STE C
SAINT HELENS, OR 97051-6229
Phone number: 503-901-9385
Copy
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