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1023524808
SHAWN LEE THARP
CORVALLIS, OR
NPI
1023524808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-12-16
Last Update Date
2017-12-16
Business Address
SHAWN LEE THARP
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-990-7108
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Mailing Address
SHAWN LEE THARP
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number:
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