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1215550934
TABETHA LYNN EVERNDEN
COOS BAY, OR
NPI
1215550934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 20-CRM-114)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
TABETHA LYNN EVERNDEN CRM
155 S EMPIRE BLVD
COOS BAY, OR 97420-3374
Phone number: 541-756-3111
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Mailing Address
TABETHA LYNN EVERNDEN CRM
1942 SHERIDAN AVE
NORTH BEND, OR 97459-3416
Phone number: 541-756-3111
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