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1184452211
LEANNA LOUISE BLAKELY
MEDFORD, OR
NPI
1184452211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 23-QMHA-R-4729)
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
LEANNA LOUISE BLAKELY QMHA2
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-3851
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Mailing Address
LEANNA LOUISE BLAKELY QMHA2
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-7720
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