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1568034742
KENNETH CLIFTON PATTERSON
SALEM, OR
NPI
1568034742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000104598)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
KENNETH CLIFTON PATTERSON THW000104598
2555 SILVERTON RD NE
SALEM, OR 97301-0837
Phone number: 503-573-7018
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Mailing Address
KENNETH CLIFTON PATTERSON THW000104598
2555 SILVERTON RD NE
SALEM, OR 97301-0837
Phone number: 503-573-7018
Copy
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