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1629651807
SHANDON RAY SANDERS - JOHNSON
UMATILLA, OR
NPI
1629651807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
SHANDON RAY SANDERS - JOHNSON
290 WILLAMETTE ST
UMATILLA, OR 97882-6601
Phone number: 541-922-0880
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Mailing Address
SHANDON RAY SANDERS - JOHNSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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