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1235885187
NICHOLAS JAMES HARVEY
ROSEBURG, OR
NPI
1235885187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
NICHOLAS JAMES HARVEY
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
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Mailing Address
NICHOLAS JAMES HARVEY
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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