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1538619879
LIZDALY CANCEL TIRADO
CORVALLIS, OR
NPI
1538619879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- LIZDALY CANCEL TIRADO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
-- LIZDALY CANCEL TIRADO
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Copy
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