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1598209074
JASMINE ROSE PENTER
EUGENE, OR
NPI
1598209074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L7027)
Enumeration Date
2016-12-18
Last Update Date
2016-12-18
Business Address
-- JASMINE ROSE PENTER LCSW
696 COUNTRY CLUB RD
EUGENE, OR 97401-2240
Phone number: 541-870-2904
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Mailing Address
-- JASMINE ROSE PENTER LCSW
PO BOX 71371
SPRINGFIELD, OR 97475-0195
Phone number: 541-870-2904
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