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1801159256
JASON IVEANS
PRINEVILLE, OR
NPI
1801159256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
-- JASON IVEANS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
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Mailing Address
-- JASON IVEANS
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
Copy
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