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1457649329
GARY JACOB VILLANUEVA
JASPER, OR
NPI
1457649329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
-- GARY JACOB VILLANUEVA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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Mailing Address
-- GARY JACOB VILLANUEVA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Copy
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