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1760974364
CHRISTOPHER BERNARDO
ROSEBURG, OR
NPI
1760974364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-31
Last Update Date
2022-11-15
Business Address
CHRISTOPHER BERNARDO
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
CHRISTOPHER BERNARDO
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-492-0241
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