IVAN ISAIAH SANDOVAL

JUNCTION CITY, OR
NPI1588421325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-02-28
Last Update Date2024-02-28
Business Address
IVAN ISAIAH SANDOVAL
29398 RECOVERY WAY STE 1
JUNCTION CITY, OR 97448-8447
Phone number: 541-995-2210
Mailing Address
IVAN ISAIAH SANDOVAL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8167
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