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1710758768
NICOLE LEWIS
SALEM, OR
NPI
1710758768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000110212)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
NICOLE LEWIS PSS
1190 BROADWAY ST NE
SALEM, OR 97301-1141
Phone number: 503-393-4273
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Mailing Address
NICOLE LEWIS PSS
469 GREGORY LN SE
SALEM, OR 97302-4823
Phone number: 503-851-8161
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