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1649673955
JASMINE PETTET
PORTLAND, OR
NPI
1649673955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 130942)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- JASMINE PETTET CADC1
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-793-7389
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Mailing Address
-- JASMINE PETTET CADC1
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-793-7389
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