KALPANATIT JAVON BRODERICK

JASPER, OR
NPI1912275728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-12-07
Last Update Date2011-12-07
Business Address
-- KALPANATIT JAVON BRODERICK BA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Mailing Address
-- KALPANATIT JAVON BRODERICK BA
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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