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1154745800
MARK GUNDERSEN
SAINT HELENS, OR
NPI
1154745800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
-- MARK GUNDERSEN QMHA
105 S 3RD ST
SAINT HELENS, OR 97051-2009
Phone number: 503-397-6900
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Mailing Address
-- MARK GUNDERSEN QMHA
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number: 503-397-5211
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