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1164718821
SHAWNEE ELSA DALE
GRANTS PASS, OR
NPI
1164718821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-21
Last Update Date
2011-06-21
Business Address
-- SHAWNEE ELSA DALE BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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Mailing Address
-- SHAWNEE ELSA DALE BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
Copy
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