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1073796173
PETER WAYNE TELLER
SALEM, OR
NPI
1073796173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-12-11
Last Update Date
2008-10-04
Business Address
MR. PETER WAYNE TELLER M.A.
1073 OAK ST SE
SALEM, OR 97301-4018
Phone number: 503-585-4949
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Mailing Address
MR. PETER WAYNE TELLER M.A.
305 WALNUT WAY
SILVERTON, OR 97381-2419
Phone number: 503-873-0703
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