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1578917985
BENARD FUCHAKA SIMIYU
TIGARD, OR
NPI
1578917985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-04-21
Last Update Date
2016-04-21
Business Address
-- BENARD FUCHAKA SIMIYU
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
-- BENARD FUCHAKA SIMIYU
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Copy
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