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1851619035
GAYLORD BRUCE MAKOWSKI
CANBY, OR
NPI
1851619035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T0136)
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
Mr. GAYLORD BRUCE MAKOWSKI LMFT
147 NW 3RD AVE
CANBY, OR 97013-8749
Phone number: 503-266-1951
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Mailing Address
Mr. GAYLORD BRUCE MAKOWSKI LMFT
2694 SE TERRITORIAL RD
CANBY, OR 97013-8749
Phone number: 503-266-6108
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