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1780256966
TAMMY LEE DILLARD
COOS BAY, OR
NPI
1780256966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 19-CRM-173)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
TAMMY LEE DILLARD
281 LACLAIR ST
COOS BAY, OR 97420-2988
Phone number: 541-808-8413
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Mailing Address
TAMMY LEE DILLARD
2181 HAMILTON ST APT 15
NORTH BEND, OR 97459-2740
Phone number: 541-808-8413
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