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1851474381
JERRY LEE EDIN
SPRINGFIELD, OR
NPI
1851474381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C0250)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- JERRY LEE EDIN MS
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-746-2333
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Mailing Address
-- JERRY LEE EDIN MS
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-746-2333
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