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1902467988
GRANT SCHROEDER
ROSEBURG, OR
NPI
1902467988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4392)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
GRANT SCHROEDER
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
GRANT SCHROEDER
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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