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1689381428
KRISTOFER RICHARD BLANKENSHIP
ALBANY, OR
NPI
1689381428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-2097)
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
KRISTOFER RICHARD BLANKENSHIP CRM, CADC-R
433 3RD AVE SE
ALBANY, OR 97321-2860
Phone number: 541-791-7193
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Mailing Address
KRISTOFER RICHARD BLANKENSHIP CRM, CADC-R
433 3RD AVE SE
ALBANY, OR 97321-2860
Phone number: 541-791-7193
Copy
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