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1619283041
JACOB MAINS
SALEM, OR
NPI
1619283041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-08-23
Last Update Date
2010-08-23
Business Address
JACOB MAINS QMHP
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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Mailing Address
JACOB MAINS QMHP
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number:
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