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1194868141
BRANDON EDWARD MATZ
EUGENE, OR
NPI
1194868141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
MR. BRANDON EDWARD MATZ QMHA
1790 W.11TH AVE
EUGENE, OR 97402-0427
Phone number: 541-686-1262
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Mailing Address
MR. BRANDON EDWARD MATZ QMHA
PO BOX 23338
EUGENE, OR 97402-0427
Phone number: 541-686-1262
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