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1720353204
KYLE FOSDICK
CORVALLIS, OR
NPI
1720353204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
-- KYLE FOSDICK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
-- KYLE FOSDICK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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