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1609074202
JOSE LUIS MANRIQUEZ
EUGENE, OR
NPI
1609074202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-05
Last Update Date
2022-05-02
Business Address
JOSE LUIS MANRIQUEZ
2411 MLK JR BLVD
EUGENE, OR 97401-5824
Phone number: 541-682-3550
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Mailing Address
JOSE LUIS MANRIQUEZ
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
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