Demographics
DOB: Nov 2, 1985
Sex: M
Status: active
Email: chefjered@gmail.com
Mobile: 9719008500
Home: 9719008500
Department: SOUTH SALEM
Primary Provider: Elliot Taxman
Last Synced: Jun 17, 2026, 2:13 PM
Address: 167 Aldridge Dr N, SALEM, OR, 97303
No clinical chart records found.
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