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1932496536
MARK IVAN JOHNSTUN
GRANTS PASS, OR
NPI
1932496536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C2179)
Enumeration Date
2011-07-01
Last Update Date
2024-02-07
Business Address
Mr. MARK IVAN JOHNSTUN LPC
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
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Mailing Address
Mr. MARK IVAN JOHNSTUN LPC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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