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1952606469
DAN WALTER JERDEN
KLAMATH FALLS, OR
NPI
1952606469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-01-13
Last Update Date
2011-01-13
Business Address
-- DAN WALTER JERDEN
3314 VANDENBERG RD
KLAMATH FALLS, OR 97603-3730
Phone number: 541-880-6546
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Mailing Address
-- DAN WALTER JERDEN
3314 VANDENBERG RD
KLAMATH FALLS, OR 97603-3730
Phone number: 541-880-6546
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