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1013487404
JASON ALLEN PAUL
COOS BAY, OR
NPI
1013487404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 18-CRM-183)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
JASON ALLEN PAUL PSS, CRM
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
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Mailing Address
JASON ALLEN PAUL PSS, CRM
1942 SHERIDAN AVE
NORTH BEND, OR 97459-3416
Phone number: 541-622-3718
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