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1164088050
CODY A HUNTER
TIDEWATER, OR
NPI
1164088050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-05-15
Last Update Date
2019-06-11
Business Address
Mr. CODY A HUNTER
18322 E ALSEA HWY
TIDEWATER, OR 97390-9641
Phone number: 541-844-4961
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Mailing Address
Mr. CODY A HUNTER
PO BOX 2083
CORVALLIS, OR 97339-2083
Phone number: 541-844-4961
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