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1093111437
PETER SHAPOVAL
MILWAUKIE, OR
NPI
1093111437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
-- PETER SHAPOVAL
4545 SE INA AVE APT 9
MILWAUKIE, OR 97267-5918
Phone number: 503-654-5678
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Mailing Address
-- PETER SHAPOVAL
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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