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1720104557
LAWRENCE S VAN
ALBANY, OR
NPI
1720104557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. LAWRENCE S VAN College degree
445 3RD AVE SW
ALBANY, OR 97321-2272
Phone number: 541-967-3866
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Mailing Address
Mr. LAWRENCE S VAN College degree
445 3RD AVE SW
ALBANY, OR 97321-2272
Phone number: 541-967-3866
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