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1235412735
JESSICA L BRAKE
ROSEBURG, OR
NPI
1235412735
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Former Name
JESSICA L HALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3280)
Enumeration Date
2011-09-21
Last Update Date
2022-10-19
Business Address
JESSICA L BRAKE MS
2233 W HARVARD AVE
ROSEBURG, OR 97471-2550
Phone number: 541-670-2264
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Mailing Address
JESSICA L BRAKE MS
PO BOX 1756
ROSEBURG, OR 97470-0420
Phone number: 541-670-2264
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