LARRY EVANS

ROSEBURG, OR
NPI1710421912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-12-07
Last Update Date2016-12-07
Business Address
-- LARRY EVANS
621 W MADRONE ST 621 W MADRONE STREET
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
Mailing Address
-- LARRY EVANS
621 W MADRONE ST 621 W MADRONE STREET
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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