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1629557756
CARLOS ACEVEDO
GRANTS PASS, OR
NPI
1629557756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
CARLOS ACEVEDO
720 NW 6TH ST
GRANTS PASS, OR 97526-1524
Phone number: 541-955-9227
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Mailing Address
CARLOS ACEVEDO
720 NW 6TH ST
GRANTS PASS, OR 97526-1524
Phone number: 541-955-9227
Copy
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