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1437488541
SUMMER NICOLE WALLAERT
PORTLAND, OR
NPI
1437488541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-12-18
Last Update Date
2009-12-18
Business Address
Mrs. SUMMER NICOLE WALLAERT
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
Mrs. SUMMER NICOLE WALLAERT
1500 SW PLEASANT VIEW DR APT 314
GRESHAM, OR 97080-7776
Phone number: 805-610-7219
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