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1972708196
JOHN RICHARDS
CORVALLIS, OR
NPI
1972708196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Mr. JOHN RICHARDS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-917-7482
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Mailing Address
Mr. JOHN RICHARDS
707 10TH ST SW #421
CORVALLIS, OR 97333
Phone number: 541-230-0004
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