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Individual

CASSANDRA DOMASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 W B ST, BUILDING D, SPRINGFIELD, OR 97477
(541) 752-1971
(541) 762-1974
Mailing address
29840 WILLOW CREEK RD APT 33, EUGENE, OR 97402-9187
(503) 689-3018

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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