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1336631555
SHARON RENEE WALLACE
EUGENE, OR
NPI
1336631555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2018-06-04
Last Update Date
2023-11-21
Business Address
SHARON RENEE WALLACE
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-342-8437
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Mailing Address
SHARON RENEE WALLACE
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number:
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