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1326701558
JORDAN FOWLDS
EUGENE, OR
NPI
1326701558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-14
Last Update Date
2022-09-12
Business Address
JORDAN FOWLDS
1040 OAK ST
EUGENE, OR 97401-3132
Phone number: 541-343-6987
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Mailing Address
JORDAN FOWLDS
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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