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1336857622
RUSS SHY
BEND, OR
NPI
1336857622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
RUSS SHY
760 NW HARRIMAN ST
BEND, OR 97703-2789
Phone number: 231-631-5952
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Mailing Address
RUSS SHY
760 NW HARRIMAN ST
BEND, OR 97703-2789
Phone number:
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