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1710483722
EMILY ELISE GIBSON
COBURG, OR
NPI
1710483722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-02-07)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
EMILY ELISE GIBSON CADC I
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
EMILY ELISE GIBSON CADC I
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-687-1110
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