SHANTELL BOULWARE

ROSEBURG, OR
NPI1659761435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
-- SHANTELL BOULWARE
272 NW MEDICAL LOOP STE E
ROSEBURG, OR 97471-5545
Phone number: 541-440-3532
Mailing Address
-- SHANTELL BOULWARE
272 NW MEDICAL LOOP STE E
ROSEBURG, OR 97471-5545
Phone number:
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