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1497029623
LAURA BASTIDA
SALEM, OR
NPI
1497029623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-03-06
Last Update Date
2012-03-06
Business Address
-- LAURA BASTIDA
2645 PORTLAND RD NE STE 120
SALEM, OR 97301-0198
Phone number: 503-390-5637
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Mailing Address
-- LAURA BASTIDA
PO BOX 8049
SALEM, OR 97303-0230
Phone number: 503-559-9066
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