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1053772228
JENNIFER LOPEZ
THE DALLES, OR
NPI
1053772228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-15
Last Update Date
2016-11-21
Business Address
JENNIFER LOPEZ
1021 W 9TH ST
THE DALLES, OR 97058-1007
Phone number: 541-298-1920
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Mailing Address
JENNIFER LOPEZ
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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