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1790809945
SHANE SETH JENNINGS
EUGENE, OR
NPI
1790809945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mr. SHANE SETH JENNINGS
1790 W 11TH AVE STE 290
EUGENE, OR 97402-3759
Phone number: 541-686-1262
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Mailing Address
Mr. SHANE SETH JENNINGS
21453 HIGHWAY 126
NOTI, OR 97461-9729
Phone number:
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