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1013403286
IAN B SAMPSON
PENDLETON, OR
NPI
1013403286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-07-10
Last Update Date
2018-07-11
Business Address
IAN B SAMPSON
46314 TIMINE WAY
PENDLETON, OR 97801
Phone number: 541-966-9830
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Mailing Address
IAN B SAMPSON
46314 TIMINE WAY
PENDLETON, OR 97801-9417
Phone number: 541-966-9830
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