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1801370283
CARLA GAMBLE
ROSEBURG, OR
NPI
1801370283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 98-07-07)
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
CARLA GAMBLE
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
CARLA GAMBLE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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