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1518585140
JACK MONTANA LANDER
SALEM, OR
NPI
1518585140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
JACK MONTANA LANDER MA, LPC Intern
270 COTTAGE ST NE
SALEM, OR 97301-3842
Phone number: 503-647-6658
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Mailing Address
JACK MONTANA LANDER MA, LPC Intern
270 COTTAGE ST NE
SALEM, OR 97301-3842
Phone number: 503-647-6658
Copy
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