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1265785109
LOREN DEPPING
DALLAS, OR
NPI
1265785109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- LOREN DEPPING B.A.
182 SW ACADEMY ST
DALLAS, OR 97338-1922
Phone number: 503-623-9289
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Mailing Address
-- LOREN DEPPING B.A.
182 SW ACADEMY ST
DALLAS, OR 97338-1922
Phone number: 503-623-9289
Copy
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