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1215352828
AUTUMN FAULKNER
CORVALLIS, OR
NPI
1215352828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- AUTUMN FAULKNER
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-757-1852
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Mailing Address
-- AUTUMN FAULKNER
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number:
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