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1225263973
SAMUEL ADAM BISHOP
CORVALLIS, OR
NPI
1225263973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 16209)
Enumeration Date
2009-05-26
Last Update Date
2009-05-26
Business Address
Mr. SAMUEL ADAM BISHOP LMT
970 NW CIRCLE BLVD
CORVALLIS, OR 97330-1410
Phone number: 541-754-0325
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Mailing Address
Mr. SAMUEL ADAM BISHOP LMT
2997 KALMIA CT
SWEET HOME, OR 97386-2946
Phone number: 541-401-7028
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