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1700265147
DAVID PUNGERCAR
SALEM, OR
NPI
1700265147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2015-05-19
Last Update Date
2015-05-19
Business Address
-- DAVID PUNGERCAR
4347 SUNNYVIEW RD. NE
SALEM, OR 97305
Phone number: 541-956-4943
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Mailing Address
-- DAVID PUNGERCAR
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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