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1336341395
LACEY WADE
MCMINNVILLE, OR
NPI
1336341395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- LACEY WADE
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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Mailing Address
-- LACEY WADE
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7523
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