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1255670154
JORDAN DIRECTOR
CORVALLIS, OR
NPI
1255670154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
-- JORDAN DIRECTOR
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
-- JORDAN DIRECTOR
111 NW 26TH ST APT #1
CORVALLIS, OR 97330-5362
Phone number:
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