JAKE GONGORA

SALEM, OR
NPI1205466018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-01-21
Last Update Date2020-01-21
Business Address
Mr. JAKE GONGORA
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
Mailing Address
Mr. JAKE GONGORA
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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