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1053990101
JONATHAN MICHAEL BRUBAKER
SALEM, OR
NPI
1053990101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
JONATHAN MICHAEL BRUBAKER
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637
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Mailing Address
JONATHAN MICHAEL BRUBAKER
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637
Copy
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