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1083048276
SALLY CHAMPA
BEND, OR
NPI
1083048276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2013-08-24
Last Update Date
2013-08-24
Business Address
-- SALLY CHAMPA
816 NW HILL ST
BEND, OR 97701-2925
Phone number: 541-280-2517
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Mailing Address
-- SALLY CHAMPA
3354 NE HOONA DR
BEND, OR 97701-8308
Phone number:
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