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1073917316
ANTHONY SPARZO
SALEM, OR
NPI
1073917316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
Mr. ANTHONY SPARZO
2035 DAVCOR ST SE
SALEM, OR 97302
Phone number: 503-585-5358
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Mailing Address
Mr. ANTHONY SPARZO
1299 BOONE ROAD NE UNIT I
SALEM, OR 97306
Phone number: 503-585-5358
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