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1598970550
MICHAEL BENJAMIN SUMNER
SALEM, OR
NPI
1598970550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 10763)
Enumeration Date
2007-05-13
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL BENJAMIN SUMNER LMT
390 SALEM HEIGHTS AVE S
SALEM, OR 97302-5609
Phone number: 503-371-1901
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Mailing Address
Mr. MICHAEL BENJAMIN SUMNER LMT
390 SALEM HEIGHTS AVE S
SALEM, OR 97302-5609
Phone number: 503-371-1901
Copy
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