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1700224805
LARRY CHARLES PARKER
BAKER CITY, OR
NPI
1700224805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 930569254)
Enumeration Date
2013-06-11
Last Update Date
2013-06-11
Business Address
Mr. LARRY CHARLES PARKER
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320
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Mailing Address
Mr. LARRY CHARLES PARKER
3700 MIDWAY DR
BAKER CITY, OR 97814-1456
Phone number: 541-523-8320
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