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1013627546
JOHN ERIC FORDYCE
SALEM, OR
NPI
1013627546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000107123)
Enumeration Date
2022-11-23
Last Update Date
2022-11-23
Business Address
Mr. JOHN ERIC FORDYCE
2045 SILVERTON RD NE STE A
SALEM, OR 97301-0100
Phone number: 593-588-5358
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Mailing Address
Mr. JOHN ERIC FORDYCE
4140 MUNKERS ST SE
SALEM, OR 97317-5841
Phone number:
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