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1699131664
JONATHAN MICHAEL CHAVIS
SALEM, OR
NPI
1699131664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
-- JONATHAN MICHAEL CHAVIS
3878 BEVERLY AVE NE BLDG H, STE 5
SALEM, OR 97305-1394
Phone number: 503-399-0670
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Mailing Address
-- JONATHAN MICHAEL CHAVIS
3878 BEVERLY AVE NE BLDG H, STE 5
SALEM, OR 97305-1394
Phone number: 503-399-0670
Copy
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