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1992196810
SAMUEL HASKIN ALEY
COOS BAY, OR
NPI
1992196810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: OR 70492)
Enumeration Date
2015-02-13
Last Update Date
2022-12-15
Business Address
MR. SAMUEL HASKIN ALEY MS
678 14TH CT
COOS BAY, OR 97420-4469
Phone number: 541-260-2106
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Mailing Address
MR. SAMUEL HASKIN ALEY MS
PO BOX 4301
COOS BAY, OR 97420-0520
Phone number: 541-260-2106
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