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1306239330
JEFFERY THOMAS LOPEZ
MCMINNVILLE, OR
NPI
1306239330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-03-16
Last Update Date
2015-03-16
Business Address
-- JEFFERY THOMAS LOPEZ MA
617 NE DAVIS ST
MCMINNVILLE, OR 97128-4716
Phone number: 503-472-4020
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Mailing Address
-- JEFFERY THOMAS LOPEZ MA
617 NE DAVIS ST
MCMINNVILLE, OR 97128-4716
Phone number: 503-472-4020
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