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1477054500
AUSTIN DERYK KENT
SALEM, OR
NPI
1477054500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
AUSTIN DERYK KENT
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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Mailing Address
AUSTIN DERYK KENT
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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