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1669990503
JOSE EDUARDO CARRILLO
MCMINNVILLE, OR
NPI
1669990503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-30
Last Update Date
2017-08-30
Business Address
Mr. JOSE EDUARDO CARRILLO M.A., QMHP
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
Mr. JOSE EDUARDO CARRILLO M.A., QMHP
2550 CARSON LOOP
FOREST GROVE, OR 97116-1632
Phone number: 408-206-9385
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