ANTHONY XAVIOR PURCELLA

BURNS, OR
NPI1740878818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-05
Last Update Date2021-01-05
Business Address
ANTHONY XAVIOR PURCELLA
348 W ADAMS ST
BURNS, OR 97720-1710
Phone number: 541-573-8376
Mailing Address
ANTHONY XAVIOR PURCELLA
814 CRANE BLVD
BURNS, OR 97720-2115
Phone number: 541-413-1352
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