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1730966243
JOHN BREIVOGEL
SALEM, OR
NPI
1730966243
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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
JOHN BREIVOGEL CRC
189 LIBERTY ST NE # 202D
SALEM, OR 97301-3682
Phone number: 971-384-5158
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Mailing Address
JOHN BREIVOGEL CRC
189 LIBERTY ST NE # 202D
SALEM, OR 97301-3682
Phone number: 971-384-5158
Copy
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