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Individual

MR. ANTHONY DWAYNE HUNTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
211 DIXON RECREATION CTR, CORVALLIS, OR 97331-8501
(541) 737-9348
(541) 737-6832
Mailing address
1678 15TH AVE SE, APT B, ALBANY, OR 97322-6634
(816) 935-2308

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10159766
OR

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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