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1437739307
MICHEAL JOSEPH LEE WENGER
SPRINGFIELD, OR
NPI
1437739307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
MICHEAL JOSEPH LEE WENGER
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
MICHEAL JOSEPH LEE WENGER
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Copy
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