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1639527005
TATIANNA PUGMIRE
SALEM, OR
NPI
1639527005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- TATIANNA PUGMIRE QMHA
2586 12TH PL SE
SALEM, OR 97302
Phone number: 503-371-4160
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Mailing Address
-- TATIANNA PUGMIRE QMHA
2586 12TH PL SE
SALEM, OR 97302-2536
Phone number: 503-371-4160
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