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1275108292
KIM MARIE LONG
SALEM, OR
NPI
1275108292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000004318)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
KIM MARIE LONG PSS, THW
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
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Mailing Address
KIM MARIE LONG PSS, THW
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
Copy
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