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1174679732
MOLLIE ADELL PHILLIPS
PORTLAND, OR
NPI
1174679732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Miss MOLLIE ADELL PHILLIPS QHMA
5524 SE 115TH AVE
PORTLAND, OR 97266-3902
Phone number: 503-761-4790
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Mailing Address
Miss MOLLIE ADELL PHILLIPS QHMA
5524 SE 115TH AVE
PORTLAND, OR 97266-3902
Phone number: 503-761-4790
Copy
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