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1275361172
GREGORY SCOTT FAHLMAN
DALLAS, OR
NPI
1275361172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
Mr. GREGORY SCOTT FAHLMAN
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-962-9289
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Mailing Address
Mr. GREGORY SCOTT FAHLMAN
1358 W LOCUST ST
STAYTON, OR 97383-1196
Phone number: 503-716-0498
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