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Individual

JABBO DIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
331 LONE OAKS LOOP, SILVERTON, OR 97381-1470
(503) 545-0904
Mailing address
331 LONE OAKS LOOP, SILVERTON, OR 97381-1470

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/22/2020
Last updated
10/22/2020
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Product
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  • Eligibility checks
  • EDI platform