JUAN ANTONIO VALLEJO

GRESHAM, OR
NPI1033810304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
JUAN ANTONIO VALLEJO
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-729-2152
Mailing Address
JUAN ANTONIO VALLEJO
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number:
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