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1124010160
JONATHAN P SAMPSON
BEND, OR
NPI
1124010160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2412)
Enumeration Date
2005-08-16
Last Update Date
2007-07-08
Business Address
-- JONATHAN P SAMPSON PT
364 SE WILSON AVE
BEND, OR 97702-1711
Phone number: 541-388-2681
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Mailing Address
-- JONATHAN P SAMPSON PT
62593 QUAIL RIDGE RD
BEND, OR 97701-9553
Phone number: 541-318-6355
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