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1730554163
DAVE FOSBERG
BEND, OR
NPI
1730554163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-12-10
Last Update Date
2016-03-22
Business Address
-- DAVE FOSBERG
23 NW GREENWOOD AVE
BEND, OR 97703-2078
Phone number: 541-383-4293
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Mailing Address
-- DAVE FOSBERG
414 NE NORTON AVE
BEND, OR 97701-4310
Phone number: 541-213-1699
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