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1467654582
ANTHONY DAVID KIRK
SALEM, OR
NPI
1467654582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OR 171M00000X)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Mr. ANTHONY DAVID KIRK QMHA
2435 GREENWAY DR NE
SALEM, OR 97301-4535
Phone number: 503-991-6619
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Mailing Address
Mr. ANTHONY DAVID KIRK QMHA
619 JASMINE CIR
INDEPENDENCE, OR 97351-9578
Phone number: 503-838-4866
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