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1861056558
LOGAN TAELOR HOLLEY
SALEM, OR
NPI
1861056558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-04-28
Last Update Date
2019-04-28
Business Address
LOGAN TAELOR HOLLEY
2645 PORTLAND RD NE
SALEM, OR 97301-0198
Phone number: 503-390-5637
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Mailing Address
LOGAN TAELOR HOLLEY
1035 CUNNINGHAM LN S
SALEM, OR 97302-6123
Phone number: 503-881-1714
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