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1104598697
SHANNON ISABELLE VAJRETTI
DALLAS, OR
NPI
1104598697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-02
Last Update Date
2024-10-28
Business Address
SHANNON ISABELLE VAJRETTI QMHA
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
SHANNON ISABELLE VAJRETTI QMHA
5755 RED LEAF DR S APT 110
SALEM, OR 97306-3019
Phone number: 408-529-3487
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