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1396113957
JEFFREY CARRELL
THE DALLES, OR
NPI
1396113957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
-- JEFFREY CARRELL
3601 W 10TH ST
THE DALLES, OR 97058-4377
Phone number: 541-296-5452
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Mailing Address
-- JEFFREY CARRELL
207 W 3RD ST
THE DALLES, OR 97058-1734
Phone number: 541-296-5452
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