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1902251333
PATRICK WM JAROSS
NEWPORT, OR
NPI
1902251333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-04
Last Update Date
2016-11-03
Business Address
-- PATRICK WM JAROSS Peer Support Special
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5960
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Mailing Address
-- PATRICK WM JAROSS Peer Support Special
25 SW BEACH ST APT 1
DEPOE BAY, OR 97341-9677
Phone number: 541-265-0505
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