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1790187953
QUINN BERRY
ENTERPRISE, OR
NPI
1790187953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 001423)
Enumeration Date
2014-09-18
Last Update Date
2016-06-01
Business Address
-- QUINN BERRY
207 SW 1ST ST
ENTERPRISE, OR 97828-1203
Phone number: 319-331-7518
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Mailing Address
-- QUINN BERRY
PO BOX 268
ENTERPRISE, OR 97828-0268
Phone number: 319-331-7518
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