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1013316033
ANDREW CALLOS
SALEM, OR
NPI
1013316033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 2702401)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- ANDREW CALLOS
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-569-0912
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Mailing Address
-- ANDREW CALLOS
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-569-0912
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