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1083906648
DAVID MARTIN VILLA
WOOD VILLAGE, OR
NPI
1083906648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-05-13
Last Update Date
2013-02-06
Business Address
Mr. DAVID MARTIN VILLA
23500 NE HALSEY ST
WOOD VILLAGE, OR 97060-2815
Phone number: 503-328-9246
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Mailing Address
Mr. DAVID MARTIN VILLA
23500 NE HALSEY ST
WOOD VILLAGE, OR 97060-2815
Phone number: 503-256-9907
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