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1790591675
ALISHIA MAE BULLIS
COOS BAY, OR
NPI
1790591675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 112737)
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
ALISHIA MAE BULLIS
2020 THOMPSON RD
COOS BAY, OR 97420-2041
Phone number: 541-267-3511
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Mailing Address
ALISHIA MAE BULLIS
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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