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1972361996
SUMMER BREEAYN ARDIANTO
MCMINNVILLE, OR
NPI
1972361996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
SUMMER BREEAYN ARDIANTO
2274 SW 2ND ST STE D
MCMINNVILLE, OR 97128-5597
Phone number: 503-372-5147
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Mailing Address
SUMMER BREEAYN ARDIANTO
113 N ELM ST
CANBY, OR 97013-3519
Phone number: 503-263-8903
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