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1265073324
SHANNON DEE WAGNER
SAINT HELENS, OR
NPI
1265073324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
SHANNON DEE WAGNER
185 N 4TH ST
SAINT HELENS, OR 97051-1535
Phone number: 503-397-5211
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Mailing Address
SHANNON DEE WAGNER
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number:
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