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1801496963
SHANNA HUMPHREY
BEND, OR
NPI
1801496963
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Former Name
SHANNA NOTO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1058897)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
SHANNA HUMPHREY OT/CLT
2041 NE WILLIAMSON CT STE B
BEND, OR 97701-3941
Phone number: 541-633-7535
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Mailing Address
SHANNA HUMPHREY OT/CLT
PO BOX 7377
BEND, OR 97708-7377
Phone number: 541-633-7535
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