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1316720709
NELLIE I DIAZ DIAZ
SALEM, OR
NPI
1316720709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000109409)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
NELLIE I DIAZ DIAZ PWS
1011 COMMERCIAL ST NE
SALEM, OR 97301-1049
Phone number: 503-983-9900
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Mailing Address
NELLIE I DIAZ DIAZ PWS
3652 SUNNYVIEW RD NE
SALEM, OR 97305-1016
Phone number: 503-302-5650
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