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1023404480
KELLIE HERBERT
SALEM, OR
NPI
1023404480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
Mrs. KELLIE HERBERT
821 SAGINAW ST S
SALEM, OR 97302-4121
Phone number: 503-362-1999
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Mailing Address
Mrs. KELLIE HERBERT
821 SAGINAW ST S
SALEM, OR 97302-4121
Phone number: 503-362-1999
Copy
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