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1750969481
IAN ANDERL LILLIE
NEWPORT, OR
NPI
1750969481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
IAN ANDERL LILLIE
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5960
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Mailing Address
IAN ANDERL LILLIE
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-0445
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