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1548540875
PETR N LOKOTKOV
SALEM, OR
NPI
1548540875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR NO. 062326)
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
Mr. PETR N LOKOTKOV LCSW
161 HIGH ST SE STE 231
SALEM, OR 97301-3620
Phone number: 503-400-7126
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Mailing Address
Mr. PETR N LOKOTKOV LCSW
5945 SAGRADA ST N
KEIZER, OR 97303-3785
Phone number: 503-400-7126
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