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1710690987
SAMANTHA SHERWOOD MAXFIELD
GRANTS PASS, OR
NPI
1710690987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207Q00000X Family Medicine
(Licence: OR PA216475)
Enumeration Date
2023-01-03
Last Update Date
2023-11-30
Business Address
Mrs. SAMANTHA SHERWOOD MAXFIELD
495 SW RAMSEY AVE
GRANTS PASS, OR 97527-5681
Phone number: 541-476-6644
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Mailing Address
Mrs. SAMANTHA SHERWOOD MAXFIELD
495 SW RAMSEY AVE
GRANTS PASS, OR 97527-5681
Phone number: 541-476-6644
Copy
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