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1902367238
JORGE MEDINA
SALEM, OR
NPI
1902367238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
JORGE MEDINA
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-540-2132
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Mailing Address
JORGE MEDINA
3180 CENTER ST NE
SALEM, OR 97301-4532
Phone number: 503-540-2132
Copy
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