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1063776961
DARCI LEE SHIVERS
ROSEBURG, OR
NPI
1063776961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-06-26
Last Update Date
2015-05-18
Business Address
-- DARCI LEE SHIVERS QMHA
272 MEDICAL LOOP SUITE C
ROSEBURG, OR 97471
Phone number: 541-440-3532
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Mailing Address
-- DARCI LEE SHIVERS QMHA
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532
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