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1710498340
GRANT FAGOT
OREGON CITY, OR
NPI
1710498340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
GRANT FAGOT
1002 LIBRARY CT
OREGON CITY, OR 97045-4066
Phone number: 503-655-8264
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Mailing Address
GRANT FAGOT
2051 KAEN RD STE 367
OREGON CITY, OR 97045-4035
Phone number: 503-742-5300
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