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1114194032
JERRELL TAITUAVE AFALAVA
CORVALLIS, OR
NPI
1114194032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2008-05-09
Last Update Date
2008-05-09
Business Address
JERRELL TAITUAVE AFALAVA
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
JERRELL TAITUAVE AFALAVA
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Copy
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