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1265219851
CARL ROBERT ANTHONY
GRANTS PASS, OR
NPI
1265219851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
CARL ROBERT ANTHONY CADC
109 NW MANZANITA ST
GRANTS PASS, OR 97526-1115
Phone number: 541-476-2373
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Mailing Address
CARL ROBERT ANTHONY CADC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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