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1295326262
DAVID BURNELL
PORTLAND, OR
NPI
1295326262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
(Licence: OR T-20-392)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
DAVID BURNELL
3650 NE MALLORY AVE APT 101
PORTLAND, OR 97212-3088
Phone number: 971-245-0798
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Mailing Address
DAVID BURNELL
4941 NE 17TH AVE
PORTLAND, OR 97211-5709
Phone number: 503-282-3296
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