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1013547371
JASE ELI PECANHA
NEWPORT, OR
NPI
1013547371
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Former Name
JOSE EDNALDO SANTOS PECANHA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
JASE ELI PECANHA QMHA
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5960
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Mailing Address
JASE ELI PECANHA QMHA
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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