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1184481889
GLEN RUDERMAN
SPRINGFIELD, OR
NPI
1184481889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R9085)
Enumeration Date
2024-02-29
Last Update Date
2024-04-26
Business Address
Mr. GLEN RUDERMAN
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477-3320
Phone number: 541-818-0009
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Mailing Address
Mr. GLEN RUDERMAN
1705 CENTENNIAL BLVD STE 2
SPRINGFIELD, OR 97477-3320
Phone number:
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