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1033476254
MICHAEL LONGPRE JONES
CORVALLIS, OR
NPI
1033476254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-06-61U)
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
-- MICHAEL LONGPRE JONES
557 NW MONROE AVE
CORVALLIS, OR 97330-4721
Phone number: 541-766-6383
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Mailing Address
-- MICHAEL LONGPRE JONES
557 NW MONROE AVE
CORVALLIS, OR 97330-4721
Phone number: 541-766-6383
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