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1982772042
JEREMY JOSEPH CLARK
EUGENE, OR
NPI
1982772042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-30
Last Update Date
2020-02-11
Business Address
JEREMY JOSEPH CLARK
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401-2443
Phone number: 541-505-8426
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Mailing Address
JEREMY JOSEPH CLARK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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