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1134264021
SAM SCOTT
COOS BAY, OR
NPI
1134264021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR d6512)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- SAM SCOTT
833 ANDERSON AVE
COOS BAY, OR 97420-4641
Phone number: 542-267-3447
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Mailing Address
-- SAM SCOTT
833 ANDERSON AVE
COOS BAY, OR 97420-4641
Phone number:
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