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1639793292
DAVID ALLEN BENNETT
PORTLAND, OR
NPI
1639793292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
DAVID ALLEN BENNETT
2544 NE CLACKAMAS ST
PORTLAND, OR 97232-1727
Phone number: 971-235-1517
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Mailing Address
DAVID ALLEN BENNETT
PO BOX 2563
ESTACADA, OR 97023-2563
Phone number: 971-235-1517
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