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1952866162
SAMUEL ALEXANDER GALLUP
BEND, OR
NPI
1952866162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
SAMUEL ALEXANDER GALLUP
19800 VILLAGE OFFICE CT STE 104
BEND, OR 97702-1813
Phone number: 541-480-2570
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Mailing Address
SAMUEL ALEXANDER GALLUP
21204 SE GOLDEN MARKET LN
BEND, OR 97702-3651
Phone number: 518-727-4404
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