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1255095600
SAMANTHA SUE GIBSON
ONTARIO, OR
NPI
1255095600
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Former Name
SAMANTHA SUE DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
SAMANTHA SUE GIBSON
686 NW 9TH ST
ONTARIO, OR 97914-1600
Phone number: 541-889-2490
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Mailing Address
SAMANTHA SUE GIBSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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