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1487376562
JUANTAE KAROL
OREGON CITY, OR
NPI
1487376562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
JUANTAE KAROL QMHP
619 MADISON ST
OREGON CITY, OR 97045-2354
Phone number: 503-303-4257
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Mailing Address
JUANTAE KAROL QMHP
2050 NW RALEIGH ST APT 671
PORTLAND, OR 97209-2297
Phone number: 321-795-4746
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