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1336707843
IGNITE, LLC
EUGENE, OR
NPI
1336707843
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Entity Type
Organization
Authorized Contact
JASMINE ROSE PENTER
Owner/Clinician
541-870-2904
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-05-30
Last Update Date
2020-03-04
Business Address
IGNITE, LLC
438 CHARNELTON ST STE 102
EUGENE, OR 97401-2760
Phone number: 541-870-2904
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Mailing Address
IGNITE, LLC
1175 LODGEPOLE CT
SPRINGFIELD, OR 97477-7635
Phone number: 541-870-2904
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