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1154802783
JONATHAN RAY VANZANDT
SAINT HELENS, OR
NPI
1154802783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
JONATHAN RAY VANZANDT
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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Mailing Address
JONATHAN RAY VANZANDT
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number: 503-397-5211
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