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1619352028
JON JOHNSON
EUGENE, OR
NPI
1619352028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- JON JOHNSON
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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Mailing Address
-- JON JOHNSON
2211 CLEAR VUE LN
SPRINGFIELD, OR 97477-1373
Phone number: 541-541-9114
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