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1295984706
KEVIN GOODNOUGH
PORTLAND, OR
NPI
1295984706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
-- KEVIN GOODNOUGH
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-552-6203
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Mailing Address
-- KEVIN GOODNOUGH
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-552-6203
Copy
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