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1982308110
JOSEPH THOMAS OUTUMURO
ASTORIA, OR
NPI
1982308110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-30
Last Update Date
2024-07-10
Business Address
JOSEPH THOMAS OUTUMURO CADC-II, QMHA-II
115 W BOND ST
ASTORIA, OR 97103-6009
Phone number: 503-325-5722
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Mailing Address
JOSEPH THOMAS OUTUMURO CADC-II, QMHA-II
65 N HIGHWAY 101 STE 204
WARRENTON, OR 97146-9371
Phone number: 503-325-5722
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