JUSTIN BASILIO ROSALES SANDOVAL

SPRINGFIELD, OR
NPI1639468895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-03-28
Last Update Date2012-01-30
Business Address
JUSTIN BASILIO ROSALES SANDOVAL
744 OAKDALE AVE
SPRINGFIELD, OR 97477-1129
Phone number: 541-513-3162
Mailing Address
JUSTIN BASILIO ROSALES SANDOVAL
744 OAKDALE AVE
SPRINGFIELD, OR 97477-1129
Phone number: 541-513-3162
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