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1972915270
MELISSA KING
WILSONVILLE, OR
NPI
1972915270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WA P160362934)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
-- MELISSA KING
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 707-535-9806
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Mailing Address
-- MELISSA KING
4144 MAIN ST
SHASTA LAKE, CA 96019-9642
Phone number: 707-535-9806
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