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1912425901
BRADY MICHAEL SEVERNS
SALEM, OR
NPI
1912425901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-30
Last Update Date
2022-07-21
Business Address
BRADY MICHAEL SEVERNS BS
1118 OAK STREET SE
SALEM, OR 97301
Phone number: 503-585-4949
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Mailing Address
BRADY MICHAEL SEVERNS BS
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
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