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1992046395
MARY DIANE ANDERSON
TILLAMOOK, OR
NPI
1992046395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OR 000007279)
Enumeration Date
2013-03-09
Last Update Date
2013-03-09
Business Address
Mrs. MARY DIANE ANDERSON
4110 3RD ST
TILLAMOOK, OR 97141-2804
Phone number: 503-842-2788
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Mailing Address
Mrs. MARY DIANE ANDERSON
208 DOUGLAS AVE
TILLAMOOK, OR 97141-2025
Phone number: 503-354-2315
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