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1659047587
SHANE MICAH BURROWS
COBURG, OR
NPI
1659047587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
SHANE MICAH BURROWS
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
SHANE MICAH BURROWS
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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