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YISAK DECHASO

Driver

NPI: 1841072204Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

C539006(OR)

Contact & Hours

Address
21541 SE ALDER ST
GRESHAM, OR 97030

Quick Facts

NPI
1841072204
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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