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1801099619
FRED BURCH
CORVALLIS, OR
NPI
1801099619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- FRED BURCH
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 514-758-5936
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Mailing Address
-- FRED BURCH
1407 GLACIER VIEW
SALEM, OR 97317
Phone number:
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