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1487964656
DIANA LIZBETH SAN JUAN
SALEM, OR
NPI
1487964656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
Mrs. DIANA LIZBETH SAN JUAN QMHA
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-361-2720
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Mailing Address
Mrs. DIANA LIZBETH SAN JUAN QMHA
189 E ELM CT
GERVAIS, OR 97026-9780
Phone number: 971-218-0951
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