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1598130858
MICHAEL DALE SHIPLEY
ROSEBURG, OR
NPI
1598130858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- MICHAEL DALE SHIPLEY BS
2700 STEWART PARKWAY ANNEX B
ROSEBURG, OR 97471
Phone number: 541-440-3532
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Mailing Address
-- MICHAEL DALE SHIPLEY BS
1600 NW GARDEN VALLEY BLVD SUITE 110
ROSEBURG, OR 97471
Phone number: 541-440-3532
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