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1417512831
BRANDT VANSOOLEN
MCMINNVILLE, OR
NPI
1417512831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
BRANDT VANSOOLEN
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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Mailing Address
BRANDT VANSOOLEN
3438 GULFPORT ST NE
SALEM, OR 97305-1514
Phone number: 580-458-1713
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