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1982295101
MONICA POWELL
COBURG, OR
NPI
1982295101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-561)
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
MONICA POWELL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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Mailing Address
MONICA POWELL
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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