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1174925366
DONDRAE FAIR
PORTLAND, OR
NPI
1174925366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR 14.crm.008)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2014-09-19
Last Update Date
2015-10-22
Business Address
-- DONDRAE FAIR CRM
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-764-7445
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Mailing Address
-- DONDRAE FAIR CRM
3910 SE STARK
PORTLAND, OR 97214
Phone number:
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