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1154367209
JOHN DAVID MIRACLE
RUTHERFORDTON, NC
NPI
1154367209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 3647)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
Mr. JOHN DAVID MIRACLE MS NCC LPC
182 WEST COURT ST
RUTHERFORDTON, NC 28139
Phone number: 828-287-7806
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Mailing Address
Mr. JOHN DAVID MIRACLE MS NCC LPC
PO BOX 878
RUTHERFORDTON, NC 28139
Phone number:
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