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1720865041
JACOB CHRISTIAN FAURE
MILWAUKIE, OR
NPI
1720865041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
JACOB CHRISTIAN FAURE
2808 SE BALFOUR ST
MILWAUKIE, OR 97222-6426
Phone number: 503-659-2575
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Mailing Address
JACOB CHRISTIAN FAURE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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