JACK BLANTON WILLS

EUGENE, OR
NPI1043464597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  5052)
Enumeration Date2008-11-11
Last Update Date2008-11-11
Business Address
Mr. JACK BLANTON WILLS M.S., P.A.
1414 KINCAID ST
EUGENE, OR 97401-3737
Phone number: 541-505-2080
Mailing Address
Mr. JACK BLANTON WILLS M.S., P.A.
1414 KINCAID ST
EUGENE, OR 97401-3737
Phone number: 541-505-2080
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