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1831967850
IAN SEWARD KENNINGTON
COOS BAY, OR
NPI
1831967850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 23-CRM-2708)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
IAN SEWARD KENNINGTON
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
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Mailing Address
IAN SEWARD KENNINGTON
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
Copy
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