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1427787068
LISSA DAVIS
SALEM, OR
NPI
1427787068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
LISSA DAVIS
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
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Mailing Address
LISSA DAVIS
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
Copy
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