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1194553214
SAMUEL VICTOR HEILENBACH
WILSONVILLE, OR
NPI
1194553214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
SAMUEL VICTOR HEILENBACH
29549 SW VILLEBOIS DR S
WILSONVILLE, OR 97070-7329
Phone number: 503-427-0172
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Mailing Address
SAMUEL VICTOR HEILENBACH
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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