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1790551091
CANDICE MELINE BOSS
SALEM, OR
NPI
1790551091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-11-28
Last Update Date
2023-12-07
Business Address
CANDICE MELINE BOSS QMHP-R
821 SAGINAW ST S # 35
SALEM, OR 97302-4121
Phone number: 503-362-1999
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Mailing Address
CANDICE MELINE BOSS QMHP-R
821 SAGINAW ST S
SALEM, OR 97302-4121
Phone number: 503-362-1999
Copy
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