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1265822167
IVAN GUTIERREZ
SALEM, OR
NPI
1265822167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
-- IVAN GUTIERREZ
1245 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-588-5816
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Mailing Address
-- IVAN GUTIERREZ
1245 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-588-5816
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