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1003382169
DEVIN ALEX LISDERO
MCMINNVILLE, OR
NPI
1003382169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
DEVIN ALEX LISDERO
422 NE 5TH ST
MCMINNVILLE, OR 97128-4604
Phone number: 503-472-4020
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Mailing Address
DEVIN ALEX LISDERO
422 NE 5TH ST
MCMINNVILLE, OR 97128-4604
Phone number:
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