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1740878818
ANTHONY XAVIOR PURCELLA
BURNS, OR
NPI
1740878818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
ANTHONY XAVIOR PURCELLA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
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Mailing Address
ANTHONY XAVIOR PURCELLA
814 CRANE BLVD
BURNS, OR 97720-2115
Phone number: 541-413-1352
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