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1073693727
JOHN YOUNGBLOOD
XENIA, OH
NPI
1073693727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 902827)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- JOHN YOUNGBLOOD
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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Mailing Address
-- JOHN YOUNGBLOOD
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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