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1740998871
TONY LEE MOLITOR
ROSEBURG, OR
NPI
1740998871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-08
Last Update Date
2024-03-11
Business Address
TONY LEE MOLITOR
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-673-3469
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Mailing Address
TONY LEE MOLITOR
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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