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1336757111
SHANE HARRIS MICHAEL ROBERTS
EUGENE, OR
NPI
1336757111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-07-17
Last Update Date
2021-12-20
Business Address
Mr. SHANE HARRIS MICHAEL ROBERTS
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401-5824
Phone number: 541-682-3608
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Mailing Address
Mr. SHANE HARRIS MICHAEL ROBERTS
2411 MARTIN LUTHER KING JR BLVD
EUGENE, OR 97401-5824
Phone number: 541-682-3608
Copy
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