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1275265019
JUSTIN WAYNE WHITE
CORVALLIS, OR
NPI
1275265019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
JUSTIN WAYNE WHITE
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
JUSTIN WAYNE WHITE
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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