JERRY LEE EDIN

SPRINGFIELD, OR
NPI1851474381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C0250)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
-- JERRY LEE EDIN MS
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-746-2333
Mailing Address
-- JERRY LEE EDIN MS
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-746-2333
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