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1194927541
ISHAWN LEVETTE EALY
SALEM, OR
NPI
1194927541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- ISHAWN LEVETTE EALY
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-585-4910
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Mailing Address
-- ISHAWN LEVETTE EALY
4549 AGATE DR SE
SALEM, OR 97317
Phone number: 503-871-4346
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