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1356009179
PAUL ALLEN JOHNSTON
SALEM, OR
NPI
1356009179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
PAUL ALLEN JOHNSTON THW
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
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Mailing Address
PAUL ALLEN JOHNSTON THW
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
Copy
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