JAKE L LANEY

GRANTS PASS, OR
NPI1154601128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-23
Last Update Date2011-08-23
Business Address
Mr. JAKE L LANEY
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
Mailing Address
Mr. JAKE L LANEY
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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