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1811059587
SHELBY GLIDDEN
COTTAGE GROVE, OR
NPI
1811059587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-15
Last Update Date
2007-07-09
Business Address
Mr. SHELBY GLIDDEN QMHA
410 N 9TH ST
COTTAGE GROVE, OR 97424-1307
Phone number: 541-942-2850
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Mailing Address
Mr. SHELBY GLIDDEN QMHA
410 N 9TH ST
COTTAGE GROVE, OR 97424-1307
Phone number: 541-942-2850
Copy
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