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1245990381
SHANTILL LYNN MOODY
THE DALLES, OR
NPI
1245990381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
SHANTILL LYNN MOODY
1060 WEBBER ST
THE DALLES, OR 97058-3749
Phone number: 541-296-5452
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Mailing Address
SHANTILL LYNN MOODY
1211 MURRAY DR W
THE DALLES, OR 97058-4610
Phone number: 541-288-4852
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