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1487212403
GIANCARLO MARCELO
SALEM, OR
NPI
1487212403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR A257918)
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
GIANCARLO MARCELO
3400 STATE ST STE G750
SALEM, OR 97301-7012
Phone number: 971-273-7502
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Mailing Address
GIANCARLO MARCELO
816 LOCKHAVEN DR NE
KEIZER, OR 97303-3748
Phone number:
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