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1922536978
ROBERT JAMES COOPRIDER
SALEM, OR
NPI
1922536978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4445)
Enumeration Date
2017-06-02
Last Update Date
2021-03-11
Business Address
ROBERT JAMES COOPRIDER
1335 CANNON ST SE
SALEM, OR 97302-2589
Phone number: 503-505-6445
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Mailing Address
ROBERT JAMES COOPRIDER
PO BOX 5462
SALEM, OR 97304-0462
Phone number: 503-505-6445
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