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1568127850
JASMINE LISA CARMACK
ROSEBURG, OR
NPI
1568127850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-11-02
Last Update Date
2021-12-16
Business Address
JASMINE LISA CARMACK
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
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Mailing Address
JASMINE LISA CARMACK
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-440-3532
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