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1285137299
SHAWNA RUTH GILLESPIE
COBURG, OR
NPI
1285137299
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Other Name
SHAWNA RUTH TYSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-15
Last Update Date
2022-09-06
Business Address
SHAWNA RUTH GILLESPIE
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-284-5724
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Mailing Address
SHAWNA RUTH GILLESPIE
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-284-5724
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