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1043844848
DOMINIC CHRISTEPHER LATHOS
CORVALLIS, OR
NPI
1043844848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-02
Last Update Date
2024-08-12
Business Address
DOMINIC CHRISTEPHER LATHOS
1300 NW HARRISON BLVD
CORVALLIS, OR 97330-6277
Phone number: 541-203-0485
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Mailing Address
DOMINIC CHRISTEPHER LATHOS
1300 NW HARRISON BLVD
CORVALLIS, OR 97330-6277
Phone number: 541-203-0485
Copy
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