FRED SIMON HOSILLOS

PRINEVILLE, OR
NPI1447524574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-03-07
Last Update Date2012-03-07
Business Address
Mr. FRED SIMON HOSILLOS BA
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
Mailing Address
Mr. FRED SIMON HOSILLOS BA
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
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