JEREMY MARK PRUITT

EUGENE, OR
NPI1992849368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-17
Last Update Date2007-07-08
Business Address
-- JEREMY MARK PRUITT
1790 W 11TH AVE SUITE 290
EUGENE, OR 97402-3758
Phone number: 541-686-1262
Mailing Address
-- JEREMY MARK PRUITT
735 W 24TH AVE
EUGENE, OR 97405-2452
Phone number: 541-513-2687
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