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1629895099
SPENCER J DE LOS REYES
STAYTON, OR
NPI
1629895099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-25
Last Update Date
2025-06-05
Business Address
SPENCER J DE LOS REYES
613 N 1ST AVE
STAYTON, OR 97383-1704
Phone number: 503-363-2021
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Mailing Address
SPENCER J DE LOS REYES
613 N 1ST AVE
STAYTON, OR 97383-1704
Phone number: 503-363-2021
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