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1942885983
CHANEL CHANDLER
ROSEBURG, OR
NPI
1942885983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
CHANEL CHANDLER
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
CHANEL CHANDLER
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Copy
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