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1851433635
SAMUEL E BLACKWELL
REDMOND, OR
NPI
1851433635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 0908)
Enumeration Date
2007-02-12
Last Update Date
2008-08-18
Business Address
Mr. SAMUEL E BLACKWELL PT
735 SW 11TH ST STE 103
REDMOND, OR 97756-2649
Phone number: 541-923-1436
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Mailing Address
Mr. SAMUEL E BLACKWELL PT
735 SW 11TH ST STE 103
REDMOND, OR 97756-2649
Phone number: 541-923-1436
Copy
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