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1679059182
NANCY DIANE GUSTAFSON
SALEM, OR
NPI
1679059182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
NANCY DIANE GUSTAFSON
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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Mailing Address
NANCY DIANE GUSTAFSON
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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