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1366957193
KENNETH SUNDRUD
SALEM, OR
NPI
1366957193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
KENNETH SUNDRUD
1599 STATE ST
SALEM, OR 97301-4255
Phone number: 503-363-3260
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Mailing Address
KENNETH SUNDRUD
1599 STATE ST
SALEM, OR 97301-4255
Phone number: 503-363-3260
Copy
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