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1063180719
SAMANTHA WELLS
BEND, OR
NPI
1063180719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 21-CRM-538)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
SAMANTHA WELLS
37 NW IRVING AVE
BEND, OR 97703-2011
Phone number: 541-633-4591
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Mailing Address
SAMANTHA WELLS
37 NW IRVING AVE
BEND, OR 97703-2011
Phone number: 541-633-4591
Copy
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