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1467114447
RUPERT TALMAGE VAN WORMER
SALEM, OR
NPI
1467114447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 122994)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
RUPERT TALMAGE VAN WORMER PhD, MSW, LCSW
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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Mailing Address
RUPERT TALMAGE VAN WORMER PhD, MSW, LCSW
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
Copy
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