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1578221552
JAKE G THOMPSON
MCMINNVILLE, OR
NPI
1578221552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
JAKE G THOMPSON PSS-MH
640 NE 3RD ST
MCMINNVILLE, OR 97128-4630
Phone number: 503-474-5509
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Mailing Address
JAKE G THOMPSON PSS-MH
640 NE 3RD ST
MCMINNVILLE, OR 97128-4630
Phone number: 503-474-5509
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