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1790107647
SAMUEL KIMES
EUGENE, OR
NPI
1790107647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- SAMUEL KIMES
499 W 4TH AVE
EUGENE, OR 97401-2505
Phone number: 541-686-1262
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Mailing Address
-- SAMUEL KIMES
441 E 13TH AVE APT. 4
EUGENE, OR 97401-4233
Phone number:
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