DUSTIN ALEXANDER FANNING-PAINTER

BEND, OR
NPI1679011274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-02-03
Last Update Date2017-12-12
Business Address
DUSTIN ALEXANDER FANNING-PAINTER QMHA
1340 NW WALL ST
BEND, OR 97703-1985
Phone number: 541-322-7500
Mailing Address
DUSTIN ALEXANDER FANNING-PAINTER QMHA
2577 NE COURTNEY DR
BEND, OR 97701-7638
Phone number: 541-322-7500
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