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1811417074
GILBERT R BEANES
SALEM, OR
NPI
1811417074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
Mr. GILBERT R BEANES
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
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Mailing Address
Mr. GILBERT R BEANES
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
Copy
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