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1750949459
MAKENNA ANN MERRISS
SALEM, OR
NPI
1750949459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR A418294)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
MAKENNA ANN MERRISS
3400 STATE ST STE G750
SALEM, OR 97301-7012
Phone number: 971-273-7502
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Mailing Address
MAKENNA ANN MERRISS
931 WINDEMERE DR NW
SALEM, OR 97304-2721
Phone number: 503-508-3801
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