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1114348018
BONNIE L SAMPSON
GRANTS PASS, OR
NPI
1114348018
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Former Name
BONNIE BUSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- BONNIE L SAMPSON LPT QMHA
1215 SW G. STREET
GRANTS PASS, OR 97527-2544
Phone number: 541-476-2373
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Mailing Address
-- BONNIE L SAMPSON LPT QMHA
1215 SW G. STREET
GRANTS PASS, OR 97527-2544
Phone number: 541-476-2373
Copy
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