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1598468548
IVAN ADAME
JASPER, OR
NPI
1598468548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
IVAN ADAME
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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Mailing Address
IVAN ADAME
1503 B ST
SPRINGFIELD, OR 97477-4967
Phone number:
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