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1124211370
ANDREW CHARLES CANNON
CORVALLIS, OR
NPI
1124211370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
-- ANDREW CHARLES CANNON
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5944
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Mailing Address
-- ANDREW CHARLES CANNON
1024 4TH AVE SE
ALBANY, OR 97321-3107
Phone number: 541-905-0933
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