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1588144950
JOSE LUIS JAIMES
CORVALLIS, OR
NPI
1588144950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
JOSE LUIS JAIMES
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-234-9591
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Mailing Address
JOSE LUIS JAIMES
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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