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1194132449
GERALD NELSON MCCULLOUGH
ADRIAN, MI
NPI
1194132449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-18
Last Update Date
2014-07-18
Business Address
-- GERALD NELSON MCCULLOUGH AMA, CAADC
770 RIVERSIDE AVE STE 11
ADRIAN, MI 49221-1476
Phone number: 517-264-2244
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Mailing Address
-- GERALD NELSON MCCULLOUGH AMA, CAADC
770 RIVERSIDE AVE STE 11
ADRIAN, MI 49221-1476
Phone number: 517-264-2244
Copy
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