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1225747538
KYLE ANDREW TOMASELLO
SALEM, OR
NPI
1225747538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-2128)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
KYLE ANDREW TOMASELLO CADCR
525 FERRY ST SE
SALEM, OR 97301-3773
Phone number: 503-363-6103
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Mailing Address
KYLE ANDREW TOMASELLO CADCR
525 FERRY ST SE
SALEM, OR 97301-3773
Phone number: 503-363-6103
Copy
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