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1104366764
HOLLY LULAY
CORVALLIS, OR
NPI
1104366764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-03-02
Last Update Date
2019-11-25
Business Address
HOLLY LULAY BS, QMHA
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6734
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Mailing Address
HOLLY LULAY BS, QMHA
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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