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1851682769
ROBERT OTTO HENKEL
PRINEVILLE, OR
NPI
1851682769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 06-11-27)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
-- ROBERT OTTO HENKEL CADC I
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441
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Mailing Address
-- ROBERT OTTO HENKEL CADC I
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441
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