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1316650393
JEFF ALLAN WIESINGER
SALEM, OR
NPI
1316650393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000108072)
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
JEFF ALLAN WIESINGER CHW
2870 BROADWAY ST NE
SALEM, OR 97303-6500
Phone number: 971-387-6918
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Mailing Address
JEFF ALLAN WIESINGER CHW
441 24TH ST NE
SALEM, OR 97301-4450
Phone number: 907-317-5923
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