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1396260816
SAMUEL GEORGE VIGIL-DONOVAN
TIGARD, OR
NPI
1396260816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
Mr. SAMUEL GEORGE VIGIL-DONOVAN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
Mr. SAMUEL GEORGE VIGIL-DONOVAN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number:
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