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1437691078
KIMO MAHI
SALEM, OR
NPI
1437691078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: OR ATAT589473)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
-- KIMO MAHI ATC
2373 KUEBLER RD. S
SALEM, OR 97302
Phone number: 503-399-3261
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Mailing Address
-- KIMO MAHI ATC
2540 FEATHER FIRE AVE NW
SALEM, OR 97304-2765
Phone number: 503-560-1502
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