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1538633912
JEFF MARTIN KELLY
MCMINNVILLE, OR
NPI
1538633912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
JEFF MARTIN KELLY
672 NE EVANS ST
MCMINNVILLE, OR 97128
Phone number: 503-434-7523
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Mailing Address
JEFF MARTIN KELLY
672 NE EVANS STREET
MCMINNVILLE, OR 97128
Phone number: 503-434-7523
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