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1700282415
SAMANTHA MARIE SHELLEY
ROSEBURG, OR
NPI
1700282415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- SAMANTHA MARIE SHELLEY BS
215 SE JACKSON STREET
ROSEBURG, OR 97470
Phone number: 541-464-6401
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Mailing Address
-- SAMANTHA MARIE SHELLEY BS
215 SE JACKSON STREET
ROSEBURG, OR 97470
Phone number: 541-464-6401
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