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1952013880
DANIEL JOHN BATES
COBURG, OR
NPI
1952013880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: T-22-2192)
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
Mr. DANIEL JOHN BATES
1 SERENITY LN # 91150
COBURG, OR 97408-9350
Phone number: 541-220-5789
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Mailing Address
Mr. DANIEL JOHN BATES
480 GILBERT ST
EUGENE, OR 97402-2332
Phone number: 541-220-5789
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