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1093404725
MIRRANDA RENEE MANDERA
ROSEBURG, OR
NPI
1093404725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 108696)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
MIRRANDA RENEE MANDERA CHW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
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Mailing Address
MIRRANDA RENEE MANDERA CHW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Copy
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