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1790455806
BRYAN VASQUEZ
SPRINGFIELD, OR
NPI
1790455806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
BRYAN VASQUEZ
3825 INTERNATIONAL CT
SPRINGFIELD, OR 97477-1086
Phone number: 541-858-8170
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Mailing Address
BRYAN VASQUEZ
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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