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1922085307
SHAWNA DEANNE IVERSON
SALEM, OR
NPI
1922085307
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Former Name
SHAWNA DEANNE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1053130)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
MRS. SHAWNA DEANNE IVERSON MOT OTR L
290 MOYER LN NW
SALEM, OR 97304
Phone number: 503-370-8990
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Mailing Address
MRS. SHAWNA DEANNE IVERSON MOT OTR L
1402 GWINN ST E
MONMOUTH, OR 97361
Phone number: 503-510-5814
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