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1417363045
JEFFREY PAUL DETERING
SALEM, OR
NPI
1417363045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-07-03
Last Update Date
2014-07-03
Business Address
-- JEFFREY PAUL DETERING
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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Mailing Address
-- JEFFREY PAUL DETERING
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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