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1174664148
TIFFANY TEELE OTTIS
SALEM, OR
NPI
1174664148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
Mrs. TIFFANY TEELE OTTIS BA
3000 MARKET ST NE STE 530
SALEM, OR 97301-1835
Phone number: 503-390-5637
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Mailing Address
Mrs. TIFFANY TEELE OTTIS BA
2285 WALKER RD NE
SALEM, OR 97305-2655
Phone number: 503-585-3752
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