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1023770948
ELIZABETH HARTE DAVENPORT
COOS BAY, OR
NPI
1023770948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
ELIZABETH HARTE DAVENPORT QMHA
377 LACLAIR ST
COOS BAY, OR 97420-4709
Phone number: 541-756-2057
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Mailing Address
ELIZABETH HARTE DAVENPORT QMHA
PO BOX 1013
NORTH BEND, OR 97459-0077
Phone number: 541-756-2057
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