Anthony Dwayne Hunter JR. ATC

NPI 1427489061 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1427489061
Gender Male
Enumeration Date 12/09/2013
Last Updated 12/09/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
211 DIXON RECREATION CTR
CORVALLIS OR, 97331-8501, US
Phone (541) 737-9348
Fax (541) 737-6832
Business Location
1678 15TH AVE SE
APT B
ALBANY OR, 97322-6634, US
Phone (816) 935-2308
Fax
Toxanomy
Taxonomy Code 390200000X
License State Oregon
License Number 10159766
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According to our database, Mr. Anthony Dwayne Hunter JR. ATC NPI is 1427489061, taxonomy code is 390200000X and license number is 10159766, license state is located at Oregon. Anthony Dwayne Hunter JR. ATC physically located at 211 Dixon Recreation Ctr, Corvallis OR, 97331-8501. NPI Number Anthony Dwayne Hunter JR. ATC has the Individual type.

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1427489061 NPI number is provided on an as is basis without warranty of any kind. 1427489061 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Dwayne Hunter JR. ATC are for informational purposes only.