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1225456106
SHYLENE LARSON
LEBANON, OR
NPI
1225456106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TF0200X Psychologist, Forensic
Enumeration Date
2014-03-28
Last Update Date
2014-03-28
Business Address
-- SHYLENE LARSON MA
1600 S MAIN ST
LEBANON, OR 97355-3109
Phone number: 541-451-5932
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Mailing Address
-- SHYLENE LARSON MA
1600 S MAIN ST
LEBANON, OR 97355-3109
Phone number: 541-451-5932
Copy
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