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1346910171
SEAN LEE BOSSEN
SALEM, OR
NPI
1346910171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 21-CRM-434)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
Mr. SEAN LEE BOSSEN
2045 SILVERTON RD NE
SALEM, OR 97301-0100
Phone number: 503-364-3047
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Mailing Address
Mr. SEAN LEE BOSSEN
355 GLEN CREEK RD NW APT 60
SALEM, OR 97304-3068
Phone number: 971-283-5490
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