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1174066047
THOMAS WALKER DORNBUSCH
MANSFIELD, OH
NPI
1174066047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 150831)
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
Mr. THOMAS WALKER DORNBUSCH BS,CDCA
151 MARION AVE
MANSFIELD, OH 44903-2223
Phone number: 419-522-1580
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Mailing Address
Mr. THOMAS WALKER DORNBUSCH BS,CDCA
151 MARION AVE
MANSFIELD, OH 44903-2223
Phone number: 419-522-1580
Copy
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