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1073195319
JUSTIN D GRIMES
CIRCLEVILLE, OH
NPI
1073195319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 175564)
Enumeration Date
2021-04-26
Last Update Date
2021-04-26
Business Address
JUSTIN D GRIMES CDCA
110 HIGHLAND AVE
CIRCLEVILLE, OH 43113-1208
Phone number: 740-477-1745
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Mailing Address
JUSTIN D GRIMES CDCA
110 HIGHLAND AVE
CIRCLEVILLE, OH 43113-1208
Phone number: 740-477-1745
Copy
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