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1013072974
TOM MARTIN BURNSIDE
CINCINNATI, OH
NPI
1013072974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH I1507)
Enumeration Date
2006-12-22
Last Update Date
2007-07-09
Business Address
Mr. TOM MARTIN BURNSIDE
417 ANDERSON FERRY RD
CINCINNATI, OH 45238-5285
Phone number: 513-922-6537
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Mailing Address
Mr. TOM MARTIN BURNSIDE
417 ANDERSON FERRY RD
CINCINNATI, OH 45238-5285
Phone number: 513-922-6537
Copy
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