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1851848477
ENOCH NIBBLETT
ROSEBURG, OR
NPI
1851848477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
ENOCH NIBBLETT
215 SE JACKSON STREET
ROSEBURG, OR 97470
Phone number: 541-464-6404
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Mailing Address
ENOCH NIBBLETT
PO BOX 1288
ROSEBURG, OR 97470-0368
Phone number: 541-464-6404
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