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1881458123
LAURA GLEN
EUGENE, OR
NPI
1881458123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C8120)
Enumeration Date
2024-02-07
Last Update Date
2024-09-09
Business Address
LAURA GLEN LAC
1720 MINDA DR
EUGENE, OR 97401-1933
Phone number: 520-818-8838
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Mailing Address
LAURA GLEN LAC
1720 MINDA DR
EUGENE, OR 97401-1933
Phone number: 541-267-2113
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