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1992748065
SAM VASQUEZ
HILLSBORO, OR
NPI
1992748065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-949393)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
MR. SAM VASQUEZ ATC
626 SE 9TH AVE
HILLSBORO, OR 97123-4600
Phone number: 503-681-4238
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Mailing Address
MR. SAM VASQUEZ ATC
1320 SW CHELTENHAM ST. #3
PORTLAND, OR 97239-7020
Phone number: 503-681-4238
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