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1366573750
DANIEL V GOLLETZ
CORVALLIS, OR
NPI
1366573750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1310)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- DANIEL V GOLLETZ Ph.D.
1300 NW HARRISON BLVD SUITE 100
CORVALLIS, OR 97330-6277
Phone number: 541-758-1556
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Mailing Address
-- DANIEL V GOLLETZ Ph.D.
PO BOX 2136
CORVALLIS, OR 97339-2136
Phone number: 541-758-1556
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