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1730451147
IAN PERRY BREITZ
CORVALLIS, OR
NPI
1730451147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-01-31
Last Update Date
2012-01-31
Business Address
-- IAN PERRY BREITZ
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-234-9591
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Mailing Address
-- IAN PERRY BREITZ
3415 SE POWELL BLVD APT. D
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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