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1679035455
ISAIAH MILE CASSIDY
CORVALLIS, OR
NPI
1679035455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
ISAIAH MILE CASSIDY
CHILDREN'S FARM HOME-4455 NE HWY 20
CORVALLIS, OR 97330
Phone number: 503-234-9591
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Mailing Address
ISAIAH MILE CASSIDY
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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