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1841044534
IAN WELLES KEUSINK
NEWBERG, OR
NPI
1841044534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-17
Last Update Date
2024-08-10
Business Address
IAN WELLES KEUSINK
1308 E 1ST ST STE 3
NEWBERG, OR 97132-2942
Phone number: 503-554-5007
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Mailing Address
IAN WELLES KEUSINK
436 S WYNOOSKI ST
NEWBERG, OR 97132-3208
Phone number: 541-870-4203
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