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1407239940
JENS MONROE NELSON
SALEM, OR
NPI
1407239940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
(Licence: OR 519113)
Enumeration Date
2015-07-01
Last Update Date
2015-07-01
Business Address
-- JENS MONROE NELSON
4075 32ND PL NE
SALEM, OR 97301-6754
Phone number: 503-990-6442
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Mailing Address
-- JENS MONROE NELSON
3188 LADD AVE NE
SALEM, OR 97301-1748
Phone number: 503-560-9091
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