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1194131946
NATHAN FORD
EATON, OH
NPI
1194131946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 120840)
Enumeration Date
2014-07-01
Last Update Date
2014-07-09
Business Address
-- NATHAN FORD
228 N BARRON ST
EATON, OH 45320-1704
Phone number: 937-456-7694
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Mailing Address
-- NATHAN FORD
119 TATE AVE
ENGLEWOOD, OH 45322-1619
Phone number: 937-414-5398
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