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1083247258
LARRY MCCULLER
FAIRFIELD, OH
NPI
1083247258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 172076)
Enumeration Date
2020-02-17
Last Update Date
2021-07-29
Business Address
LARRY MCCULLER
6570 SOSNA DR
FAIRFIELD, OH 45014-2222
Phone number: 513-942-4673
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Mailing Address
LARRY MCCULLER
3103 DIXIE HWY
HAMILTON, OH 45015-1653
Phone number: 513-892-4673
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