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1174871677
COREY PURSEL
TIGARD, OR
NPI
1174871677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- COREY PURSEL
8770 SW SCOFFINS ST
TIGARD, OR 97223-6226
Phone number: 503-684-1424
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Mailing Address
-- COREY PURSEL
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number:
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