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1770020968
LAURA SPROUSE
SALEM, OR
NPI
1770020968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-25
Last Update Date
2019-02-19
Business Address
LAURA SPROUSE
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-576-4536
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Mailing Address
LAURA SPROUSE
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-576-4536
Copy
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