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1083261143
NICK GEORGE VINDIVICH
MARTINSBURG, WV
NPI
1083261143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
NICK GEORGE VINDIVICH BA
800 EMMETT ROUSCH DR
MARTINSBURG, WV 25401-6313
Phone number: 304-262-9831
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Mailing Address
NICK GEORGE VINDIVICH BA
55 MERIDIAN PKWY STE 103
MARTINSBURG, WV 25404-5422
Phone number:
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