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1528595006
REGGIE JOHNSON
SALEM, OR
NPI
1528595006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-05-16
Last Update Date
2022-07-21
Business Address
REGGIE JOHNSON
3737 PORTLAND RD NE
SALEM, OR 97301
Phone number: 503-390-2600
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Mailing Address
REGGIE JOHNSON
3737 PORTLAND RD NE
SALEM, OR 97301-0311
Phone number: 503-390-2600
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