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1730953670
BROOK PAULETTE WAITS
ASTORIA, OR
NPI
1730953670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000110005)
Enumeration Date
2023-11-10
Last Update Date
2024-05-02
Business Address
BROOK PAULETTE WAITS PSS certification
390 W MARINE DR APT 1
ASTORIA, OR 97103-6208
Phone number: 503-741-7210
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Mailing Address
BROOK PAULETTE WAITS PSS certification
390 W MARINE DR APT 1
ASTORIA, OR 97103-6208
Phone number: 503-741-7210
Copy
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