ALAN KEITH GUSTAFSON

SALEM, OR
NPI1003392515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
ALAN KEITH GUSTAFSON
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
Mailing Address
ALAN KEITH GUSTAFSON
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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