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1104495332
JORDAN MARY WILSON
SPRINGFIELD, OR
NPI
1104495332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
JORDAN MARY WILSON
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
JORDAN MARY WILSON
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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