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1982444824
MICAH DOMINIC ECKBURG
EUGENE, OR
NPI
1982444824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
(Licence: OR 111140)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
Mr. MICAH DOMINIC ECKBURG PSS
715 LINCOLN ST
EUGENE, OR 97401-2502
Phone number: 541-344-3574
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Mailing Address
Mr. MICAH DOMINIC ECKBURG PSS
82272 RIVER DR
CRESWELL, OR 97426-9861
Phone number: 541-206-7673
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