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1932926771
JORDAN M VIAN
ROSEBURG, OR
NPI
1932926771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
JORDAN M VIAN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
JORDAN M VIAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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