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Individual

MRS. MORAG HELEN, SHAW SAMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
364 SE WILSON AVE, BEND, OR 97702-1711
(541) 388-2681
(541) 388-9236
Mailing address
62593 QUAIL RIDGE RD, BEND, OR 97701-9553
(541) 318-6355

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2413
OR

Other

Enumeration date
08/10/2005
Last updated
07/08/2007
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