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1245775477
JOSE SERGIO TRUJILLO
SALEM, OR
NPI
1245775477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 936002307)
Enumeration Date
2016-12-26
Last Update Date
2016-12-26
Business Address
-- JOSE SERGIO TRUJILLO
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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Mailing Address
-- JOSE SERGIO TRUJILLO
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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