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1154713477
JOHN ANTHONY CHARLES
PORTLAND, OR
NPI
1154713477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-24
Last Update Date
2015-05-04
Business Address
-- JOHN ANTHONY CHARLES B.S.
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
-- JOHN ANTHONY CHARLES B.S.
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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