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1780042085
RAUL DE LA O
EUGENE, OR
NPI
1780042085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- RAUL DE LA O NCGC II, CADC I
2149 CENTENNIAL PLZ STE 4
EUGENE, OR 97401-2456
Phone number: 541-393-0777
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Mailing Address
-- RAUL DE LA O NCGC II, CADC I
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number:
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