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1053956219
JASON M DELUCA
AUSTINTOWN, OH
NPI
1053956219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 171361)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
JASON M DELUCA
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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Mailing Address
JASON M DELUCA
3239 MAIN ST
MINERAL RIDGE, OH 44440-9748
Phone number: 330-885-3009
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