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1144295734
MICHAEL PAUL SANDAGO
CORVALLIS, OR
NPI
1144295734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-660149)
Enumeration Date
2006-02-17
Last Update Date
2007-07-08
Business Address
-- MICHAEL PAUL SANDAGO ATC
OREGON STATE UNIVERSITY ATHLETICS GILL COLISEUM, ROOM 104
CORVALLIS, OR 97331-4104
Phone number: 541-737-2153
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Mailing Address
-- MICHAEL PAUL SANDAGO ATC
2967 SE SUMMERFIELD DR
CORVALLIS, OR 97333-2175
Phone number: 541-753-1503
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