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1922317296
ERIC LANE EUBANK
PORTLAND, OR
NPI
1922317296
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Professional Name
LANE EUBANK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
-- ERIC LANE EUBANK
3205 SE 13TH AVE
PORTLAND, OR 97202-2461
Phone number: 503-258-4636
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Mailing Address
-- ERIC LANE EUBANK
3205 SE 13TH AVE
PORTLAND, OR 97202-2461
Phone number: 503-258-4636
Copy
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