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1720629611
RYAN WESLEY FETSCH
JASPER, OR
NPI
1720629611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
Mr. RYAN WESLEY FETSCH
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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Mailing Address
Mr. RYAN WESLEY FETSCH
1640 NW AVERY ST
ROSEBURG, OR 97471-6047
Phone number: 541-817-2813
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