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1083099196
DYLAN THOMPSON HOLMES
SPRINGFIELD, OR
NPI
1083099196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-30
Last Update Date
2022-05-13
Business Address
Mr. DYLAN THOMPSON HOLMES QMHA
2211 CLEAR VUE LN
SPRINGFIELD, OR 97477-1373
Phone number: 541-505-8558
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Mailing Address
Mr. DYLAN THOMPSON HOLMES QMHA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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