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1306401997
ROBERT STEVEN AMAVISCA
SALEM, OR
NPI
1306401997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
ROBERT STEVEN AMAVISCA
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5367
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Mailing Address
ROBERT STEVEN AMAVISCA
3827 MCKENZIE PASS WAY NE APT 101
SALEM, OR 97305-3999
Phone number: 602-818-0842
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