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1235695586
LISA COOK
ROSEBURG, OR
NPI
1235695586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
LISA COOK
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
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Mailing Address
LISA COOK
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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