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1003308917
JEREMY GORDON ALLEN
SALEM, OR
NPI
1003308917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2018-06-06
Last Update Date
2018-10-02
Business Address
JEREMY GORDON ALLEN
2555 SILVERTON RD NE
SALEM, OR 97301-0837
Phone number: 971-283-2776
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Mailing Address
JEREMY GORDON ALLEN
1115 MADISON ST NE # 222
SALEM, OR 97301-7862
Phone number: 971-283-2776
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