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1427518679
JACE EVERETT DECKER
COBURG, OR
NPI
1427518679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5281)
Enumeration Date
2019-03-22
Last Update Date
2022-02-16
Business Address
JACE EVERETT DECKER
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-284-5704
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Mailing Address
JACE EVERETT DECKER
1816 CAL YOUNG RD APT 103
EUGENE, OR 97401-2019
Phone number: 360-909-4732
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