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1588413918
ANTHONY DWIGHT CALLAWAY
DALLAS, OR
NPI
1588413918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-05-17
Last Update Date
2024-05-18
Business Address
Mr. ANTHONY DWIGHT CALLAWAY
2540 S KINGS VALLEY HWY
DALLAS, OR 97338-9000
Phone number: 503-507-1047
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Mailing Address
Mr. ANTHONY DWIGHT CALLAWAY
2540 S KINGS VALLEY HWY
DALLAS, OR 97338-9000
Phone number: 503-507-1047
Copy
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