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1386167021
ALLISON LAFOUNTAIN
DALLAS, OR
NPI
1386167021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-07-25
Last Update Date
2024-10-22
Business Address
ALLISON LAFOUNTAIN BA QMHA
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
ALLISON LAFOUNTAIN BA QMHA
1846 WILTSEY RD SE APT 313
SALEM, OR 97306-9630
Phone number: 480-205-2537
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