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1710292610
ELIA BAROCIO
KEIZER, OR
NPI
1710292610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 06-07-03)
Enumeration Date
2010-08-16
Last Update Date
2015-04-09
Business Address
-- ELIA BAROCIO CADC I
131 MENLO DR N
KEIZER, OR 97303-5534
Phone number: 503-304-4358
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Mailing Address
-- ELIA BAROCIO CADC I
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358
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