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1245849462
TAYLOR THOMPSON
SALEM, OR
NPI
1245849462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000003906)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
TAYLOR THOMPSON CHW
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
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Mailing Address
TAYLOR THOMPSON CHW
190 KINGWOOD AVE NW
SALEM, OR 97304-4030
Phone number: 503-378-7526
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