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1407222995
EDGAR CHAVEZ
CORVALLIS, OR
NPI
1407222995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- EDGAR CHAVEZ
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5944
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Mailing Address
-- EDGAR CHAVEZ
4455 NE HWY 20 CHILDREN'S FARM HOME/WAVERLY
CORVALLIS, OR 97333
Phone number:
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