JESSE C STAUBACH

COOS BAY, OR
NPI1114560802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW000003807)
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
JESSE C STAUBACH
320 CENTRAL AVE STE 304
COOS BAY, OR 97420-2241
Phone number: 541-366-7640
Mailing Address
JESSE C STAUBACH
PO BOX 802
COOS BAY, OR 97420-0148
Phone number: 541-295-9240
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