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1154978666
SHAWN MESA LAGUANA
KLAMATH FALLS, OR
NPI
1154978666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
SHAWN MESA LAGUANA
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-833-1030
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Mailing Address
SHAWN MESA LAGUANA
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-833-1030
Copy
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