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1508638958
MARINA BANDERAS
SALEM, OR
NPI
1508638958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000109713)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
MARINA BANDERAS CHW
1174 CORNUCOPIA ST NW STE 240
SALEM, OR 97304-3193
Phone number: 971-301-4411
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Mailing Address
MARINA BANDERAS CHW
4395 FALCON VIEW WAY NE APT 203
SALEM, OR 97305-2283
Phone number: 971-407-9549
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