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1356706196
MICHELLE LONG
SALEM, OR
NPI
1356706196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2015-12-21
Last Update Date
2015-12-21
Business Address
-- MICHELLE LONG AA
1599 STATE ST
SALEM, OR 97301-4255
Phone number: 503-983-0489
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Mailing Address
-- MICHELLE LONG AA
1599 STATE ST
SALEM, OR 97301-4255
Phone number: 503-983-0489
Copy
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