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1992163752
GENICK CHAVEZ
EUGENE, OR
NPI
1992163752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- GENICK CHAVEZ CADC I
1420 GREEN ACRES RD
EUGENE, OR 97408-1791
Phone number: 541-762-4500
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Mailing Address
-- GENICK CHAVEZ CADC I
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4148
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