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1083155071
BEN GERNERT
MILWAUKIE, OR
NPI
1083155071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
BEN GERNERT
4545 SE INA AVE APT 9
MILWAUKIE, OR 97267-5918
Phone number: 503-654-5678
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Mailing Address
BEN GERNERT
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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