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1760688964
WILLIAM KIRK GARDNER
CORVALLIS, OR
NPI
1760688964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR 930386966)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM KIRK GARDNER
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5944
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Mailing Address
Mr. WILLIAM KIRK GARDNER
11807 NE PRESCOTT ST
PORTLAND, OR 97220-1436
Phone number: 503-679-8043
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