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1235425869
ANTHONY STOUDAMIRE
PORTLAND, OR
NPI
1235425869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- ANTHONY STOUDAMIRE
3716 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-1111
Phone number: 503-288-8066
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Mailing Address
-- ANTHONY STOUDAMIRE
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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