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1992379671
JACOB ROBERT MILLER
CORVALLIS, OR
NPI
1992379671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 15-02-08)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
JACOB ROBERT MILLER CADC I
777 NW 9TH ST STE 102
CORVALLIS, OR 97330-6169
Phone number: 541-768-6769
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Mailing Address
JACOB ROBERT MILLER CADC I
777 NW 9TH ST STE 102
CORVALLIS, OR 97330-6169
Phone number: 541-768-6769
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