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1356591754
JASON E MCBRIDE
SPRINGFIELD, MO
NPI
1356591754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2007020133)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- JASON E MCBRIDE
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
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Mailing Address
-- JASON E MCBRIDE
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
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