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1255942744
JENNIFER M SPRAGUE
ROSEBURG, OR
NPI
1255942744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
JENNIFER M SPRAGUE
337 SE FOWLER ST
ROSEBURG, OR 97470-4348
Phone number: 541-464-6535
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Mailing Address
JENNIFER M SPRAGUE
PO BOX 1288
ROSEBURG, OR 97470-0368
Phone number:
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