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1700471018
MICAH BOMBARDIER
ALBANY, OR
NPI
1700471018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-03-08
Last Update Date
2024-02-02
Business Address
MICAH BOMBARDIER QMHA
445 3RD AVE SW
ALBANY, OR 97321-2272
Phone number: 541-967-3866
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Mailing Address
MICAH BOMBARDIER QMHA
PO BOX 100
ALBANY, OR 97321-0031
Phone number: 541-967-3866
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