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1174146948
SHELLY R CARLSON
SALEM, OR
NPI
1174146948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-05-27
Last Update Date
2020-05-27
Business Address
SHELLY R CARLSON QMHA
3723 FAIRVIEW INDUSTRIAL DR SE STE 170
SALEM, OR 97302-1174
Phone number: 503-371-1970
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Mailing Address
SHELLY R CARLSON QMHA
3723 FAIRVIEW INDUSTRIAL DR SE STE 170
SALEM, OR 97302-1174
Phone number: 503-371-1970
Copy
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