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1013289578
JEREMY JOHN ARCHIBALD
SALEM, OR
NPI
1013289578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-01-31
Last Update Date
2022-06-09
Business Address
JEREMY JOHN ARCHIBALD MH INTERN
3867 WOLVERINE ST NE BLDG F
SALEM, OR 97305-4266
Phone number: 503-588-5352
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Mailing Address
JEREMY JOHN ARCHIBALD MH INTERN
3867 WOLVERINE ST NE BLDG F
SALEM, OR 97305-4266
Phone number: 503-588-5352
Copy
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