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1760136972
VINCE PHILLIP MITCHELL
BAKER CITY, OR
NPI
1760136972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR T-21-1328)
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
VINCE PHILLIP MITCHELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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Mailing Address
VINCE PHILLIP MITCHELL
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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