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1164015178
JONATHAN R SPRAGUE
ASTORIA, OR
NPI
1164015178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
JONATHAN R SPRAGUE
115 W BOND ST
ASTORIA, OR 97103-6009
Phone number: 503-325-5722
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Mailing Address
JONATHAN R SPRAGUE
65 N HIGHWAY 101 STE 204
WARRENTON, OR 97146-9371
Phone number: 503-325-5722
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