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1861092645
JOSEPH T MITCHELL
ROSEBURG, OR
NPI
1861092645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
JOSEPH T MITCHELL
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3655
Phone number: 541-673-3469
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Mailing Address
JOSEPH T MITCHELL
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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