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1285240143
SHELLY NICHOLE STAFFORD
SALEM, OR
NPI
1285240143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-16
Last Update Date
2022-09-30
Business Address
SHELLY NICHOLE STAFFORD
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637
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Mailing Address
SHELLY NICHOLE STAFFORD
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0200
Phone number: 503-390-5637
Copy
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