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1639321409
LESLIE BENNETT
ROSEBURG, OR
NPI
1639321409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2008-10-10
Last Update Date
2022-07-21
Business Address
-- LESLIE BENNETT
272 NW MEDICAL LOOP STE C
ROSEBURG, OR 97471-5545
Phone number: 541-440-3532
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Mailing Address
-- LESLIE BENNETT
2700 NW STEWART PKWY ANNEX A
ROSEBURG, OR 97471-1281
Phone number: 541-672-5667
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