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1235837055
LUKAS ISHIYAMA
REDMOND, OR
NPI
1235837055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
Mr. LUKAS ISHIYAMA CADC-R
676 NE MAPLE AVE
REDMOND, OR 97756-8527
Phone number: 541-504-9577
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Mailing Address
Mr. LUKAS ISHIYAMA CADC-R
676 NE MAPLE AVE
REDMOND, OR 97756-8527
Phone number: 541-504-9577
Copy
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