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1295492791
SHANNON LA DOUCE
SALEM, OR
NPI
1295492791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 202112026NP-PP)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
SHANNON LA DOUCE PMHNP
945 COLUMBIA ST NE
SALEM, OR 97301-7205
Phone number: 503-707-1950
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Mailing Address
SHANNON LA DOUCE PMHNP
945 COLUMBIA ST NE
SALEM, OR 97301-7205
Phone number: 503-707-1950
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