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1477338861
GUSTAVO BLISS MENDEZ
SALEM, OR
NPI
1477338861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
GUSTAVO BLISS MENDEZ
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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Mailing Address
GUSTAVO BLISS MENDEZ
4438 FERN CT NE
SALEM, OR 97305-2261
Phone number: 971-719-5309
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