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1487031878
DEANNA JAGO
KEIZER, OR
NPI
1487031878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 02-R-32)
Enumeration Date
2015-05-05
Last Update Date
2015-05-05
Business Address
-- DEANNA JAGO CADC II, SAP
131 MENLO DR N
KEIZER, OR 97303-5534
Phone number: 503-304-4358
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Mailing Address
-- DEANNA JAGO CADC II, SAP
9400 SE THREE TREES LN
AMITY, OR 97101-2142
Phone number:
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