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1417253378
LELAND HERMAN ROSS
EUGENE, OR
NPI
1417253378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-02-09
Last Update Date
2014-04-28
Business Address
LELAND HERMAN ROSS MSW
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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Mailing Address
LELAND HERMAN ROSS MSW
3576 VERNON WAY
EUGENE, OR 97401-5334
Phone number: 541-206-1301
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