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Individual

SAYURI GRACE BOULLESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1255 PEARL ST STE 102, EUGENE, OR 97401-3570
(541) 687-6983
(541) 687-2063
Mailing address
341 ADAMS ST, EUGENE, OR 97402-4935
(541) 513-1918

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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