BENJAMIN DANIEL LANE GEORGE

JASPER, OR
NPI1134370406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-10-06
Last Update Date2008-10-06
Business Address
-- BENJAMIN DANIEL LANE GEORGE
37446 JASPER LOWELL RD
JASPER, OR 97438-9719
Phone number: 541-743-8884
Mailing Address
-- BENJAMIN DANIEL LANE GEORGE
37446 JASPER LOWELL RD
JASPER, OR 97438-9719
Phone number:
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