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1386956688
IAN JAYMES HANSEN
SALEM, OR
NPI
1386956688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 7706612)
Enumeration Date
2010-07-02
Last Update Date
2010-07-02
Business Address
-- IAN JAYMES HANSEN
3000 MARKET ST NE STE 530
SALEM, OR 97301-1835
Phone number: 503-390-5637
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Mailing Address
-- IAN JAYMES HANSEN
951 REDHILL DR SE
SALEM, OR 97302-2616
Phone number: 206-321-4773
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