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1972735942
SAM R TAFOYA
COTTAGE GROVE, OR
NPI
1972735942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-10
Last Update Date
2019-04-10
Business Address
SAM R TAFOYA
1345 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-3939
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Mailing Address
SAM R TAFOYA
PO BOX 1108 ACP 0033-19
SALEM, OR 97308
Phone number:
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