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1609012897
LANCE NELSON
MCMINNVILLE, OR
NPI
1609012897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-12-18
Last Update Date
2008-12-18
Business Address
-- LANCE NELSON
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
-- LANCE NELSON
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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