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1639505704
DENISE MARIE GANTENBEIN
ROSEBURG, OR
NPI
1639505704
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Former Name
DENISE MARIE LANDSBERGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
-- DENISE MARIE GANTENBEIN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
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Mailing Address
-- DENISE MARIE GANTENBEIN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Copy
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