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1457116535
AUSTIN W JIMENEZ
SALEM, OR
NPI
1457116535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR 106S00000X)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
MR. AUSTIN W JIMENEZ
2399 CORAL AVE NE APT C
SALEM, OR 97305-4228
Phone number: 505-377-2995
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Mailing Address
MR. AUSTIN W JIMENEZ
2301 CORAL AVE NE APT C
SALEM, OR 97305-1279
Phone number: 505-377-2995
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