ANTHONY DAVID KIRK

SALEM, OR
NPI1467654582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  171M00000X)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Mr. ANTHONY DAVID KIRK QMHA
2435 GREENWAY DR NE
SALEM, OR 97301-4535
Phone number: 503-991-6619
Mailing Address
Mr. ANTHONY DAVID KIRK QMHA
619 JASMINE CIR
INDEPENDENCE, OR 97351-9578
Phone number: 503-838-4866
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