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1780950691
JESSE MICHAEL NUSSBAUM
GRANTS PASS, OR
NPI
1780950691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-25
Last Update Date
2018-03-24
Business Address
JESSE MICHAEL NUSSBAUM BA
1750 NEBRASKA AVE BLDG B
GRANTS PASS, OR 97527-5700
Phone number: 541-476-3302
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Mailing Address
JESSE MICHAEL NUSSBAUM BA
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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