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1689933012
TY POS
SALEM, OR
NPI
1689933012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
-- TY POS
694 CHURCH ST NE
SALEM, OR 97301-2401
Phone number: 503-588-5827
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Mailing Address
-- TY POS
694 CHURCH ST NE
SALEM, OR 97301-2401
Phone number: 503-588-5827
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