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1730819384
ERIC JACOBS-NICHOLLS
BEND, OR
NPI
1730819384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
ERIC JACOBS-NICHOLLS
63311 JAMISON ST
BEND, OR 97703-8288
Phone number: 541-322-7500
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Mailing Address
ERIC JACOBS-NICHOLLS
2577 NE COURTNEY DRIVE
BEND, OR 97701-7638
Phone number: 541-222-7500
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