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1619632791
BUIRGE SULLIVAN JONES
ROSEBURG, OR
NPI
1619632791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
BUIRGE SULLIVAN JONES QMHP
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
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Mailing Address
BUIRGE SULLIVAN JONES QMHP
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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