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1073124368
JUSTIN WILCOX
WARREN, OH
NPI
1073124368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH 174290)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
JUSTIN WILCOX CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
JUSTIN WILCOX CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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