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1194299032
DAN RICHARD BISE
CIRCLEVILLE, OH
NPI
1194299032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.169362)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
DAN RICHARD BISE CDCA
101 1/2 W MAIN ST
CIRCLEVILLE, OH 43113-1619
Phone number: 740-420-9490
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Mailing Address
DAN RICHARD BISE CDCA
101 1/2 W MAIN ST
CIRCLEVILLE, OH 43113-1619
Phone number: 740-420-9490
Copy
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