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1902483498
ASHMABETT VERA-GONZALEZ
MADRAS, OR
NPI
1902483498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 21-02-10075)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
ASHMABETT VERA-GONZALEZ CADC
236 D STREET
MADRAS, OR 97754
Phone number: 541-475-5300
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Mailing Address
ASHMABETT VERA-GONZALEZ CADC
PO BOX 1710
REDMOND, OR 97756-0516
Phone number: 541-516-4087
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