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1407101793
KATLYNN RENEA PENDERGAST
WILSONVILLE, OR
NPI
1407101793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
KATLYNN RENEA PENDERGAST
29197 SW ORLEANS AVE
WILSONVILLE, OR 97070-7388
Phone number: 503-427-0182
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Mailing Address
KATLYNN RENEA PENDERGAST
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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