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1851964647
SAMANTHA ALEXIS BRYAN
PORTLAND, OR
NPI
1851964647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
SAMANTHA ALEXIS BRYAN
32 NE 11TH AVE
PORTLAND, OR 97232-3001
Phone number: 503-542-7635
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Mailing Address
SAMANTHA ALEXIS BRYAN
2985 NE MODA WAY APT 338
HILLSBORO, OR 97124-7197
Phone number: 954-234-8270
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