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1790532224
JAMIE LONG
MCMINNVILLE, OR
NPI
1790532224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
JAMIE LONG
213 NE 10TH ST
MCMINNVILLE, OR 97128-4825
Phone number: 971-261-2259
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Mailing Address
JAMIE LONG
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 971-261-2259
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