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1083078406
GORDON SANDERS
PORTSMOUTH, OH
NPI
1083078406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 150278)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- GORDON SANDERS
2954 WALNUT STREET
PORTSMOUTH, OH 45662
Phone number: 740-353-1111
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Mailing Address
-- GORDON SANDERS
2954 WALNUT STREET
PORTSMOUTH, OH 45662
Phone number: 740-353-1111
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