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1770776122
SANFORD MICHAEL YOUNG
SALEM, OR
NPI
1770776122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 1025394)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Mr. SANFORD MICHAEL YOUNG COTA
4676 COMMERCIAL ST SE # A-29
SALEM, OR 97302-1902
Phone number: 503-399-0090
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Mailing Address
Mr. SANFORD MICHAEL YOUNG COTA
4676 COMMERCIAL ST SE # A-29
SALEM, OR 97302-1902
Phone number: 503-399-0090
Copy
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