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1083320030
CODY SHANE ALLISON
NEWPORT, OR
NPI
1083320030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
(Licence: OR 1066339)
Enumeration Date
2023-01-24
Last Update Date
2023-01-24
Business Address
CODY SHANE ALLISON BS, ACSM-CEP
930 SW ABBEY ST
NEWPORT, OR 97365-4820
Phone number: 541-574-4856
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Mailing Address
CODY SHANE ALLISON BS, ACSM-CEP
3140 ELLIOT ST NW
SALEM, OR 97304-1064
Phone number: 503-507-9124
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