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1194865980
ANDRE ANTHONY
FAIRFIELD, CA
NPI
1194865980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- ANDRE ANTHONY
956 E TABOR AVE
FAIRFIELD, CA 94533-4104
Phone number: 707-422-9345
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Mailing Address
-- ANDRE ANTHONY
2800 DOVER AVE APT. G5
FAIRFIELD, CA 94533-1474
Phone number: 707-688-2120
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