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1295573723
MICHELLE DICHOSO BALLESTEROS
MCMINNVILLE, OR
NPI
1295573723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: OR 623110)
Enumeration Date
2024-07-18
Last Update Date
2024-11-15
Business Address
MICHELLE DICHOSO BALLESTEROS Foster Care Provider
631 SW TAFT ST
MCMINNVILLE, OR 97128-6627
Phone number: 971-330-5503
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Mailing Address
MICHELLE DICHOSO BALLESTEROS Foster Care Provider
631 SW TAFT ST
MCMINNVILLE, OR 97128-6627
Phone number: 971-330-5503
Copy