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1932958394
ROBERT WILLIAM VAN NIEL
COBURG, OR
NPI
1932958394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-3975)
Enumeration Date
2024-05-16
Last Update Date
2024-05-16
Business Address
ROBERT WILLIAM VAN NIEL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 408-438-7147
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Mailing Address
ROBERT WILLIAM VAN NIEL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 408-438-7147
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