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1295516920
DIANDRA ELIZABETH ULLOA-PACHECO
OMAK, WA
NPI
1295516920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
DIANDRA ELIZABETH ULLOA-PACHECO
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
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Mailing Address
DIANDRA ELIZABETH ULLOA-PACHECO
PO BOX 685
OMAK, WA 98841-0685
Phone number: 509-861-8097
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