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1760926612
FREDMILG CONRADO
CORVALLIS, OR
NPI
1760926612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-12-12
Last Update Date
2018-10-17
Business Address
FREDMILG CONRADO
530 NW 27TH ST
CORVALLIS, OR 97330
Phone number: 541-766-6835
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Mailing Address
FREDMILG CONRADO
530 NW 27TH ST
CORVALLIS, OR 97330-5298
Phone number: 541-766-6835
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