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1730946799
WAYNE KASSEBAUM
SALEM, OR
NPI
1730946799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-05
Last Update Date
2024-03-05
Business Address
WAYNE KASSEBAUM
4385 SUNNYVIEW RD NE
SALEM, OR 97305-1869
Phone number: 503-400-3340
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Mailing Address
WAYNE KASSEBAUM
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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