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1891303152
ROGER KENNEDY
ROSEBURG, OR
NPI
1891303152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C7069)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-07-22
Last Update Date
2023-04-04
Business Address
Mr. ROGER KENNEDY
1652 NW HUGHWOOD CT
ROSEBURG, OR 97471-8844
Phone number: 541-673-3985
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Mailing Address
Mr. ROGER KENNEDY
1652 NW HUGHWOOD CT
ROSEBURG, OR 97471-8844
Phone number:
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