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1508187105
JACKIE JENEA DIMEGLIO
SALEM, OR
NPI
1508187105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-17
Last Update Date
2020-10-11
Business Address
JACKIE JENEA DIMEGLIO
1118 OAK ST SE # 97301
SALEM, OR 97301-4019
Phone number: 503-585-4949
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Mailing Address
JACKIE JENEA DIMEGLIO
1073 OAK ST SE
SALEM, OR 97301-4018
Phone number: 503-585-4949
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