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1215670948
NICHOLAS RICHARD ST.JOHN
MAUMEE, OH
NPI
1215670948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.180188)
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
NICHOLAS RICHARD ST.JOHN
1760 MANLEY RD
MAUMEE, OH 43537-9400
Phone number: 419-740-1814
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Mailing Address
NICHOLAS RICHARD ST.JOHN
1760 MANLEY RD
MAUMEE, OH 43537-9400
Phone number: 419-740-1814
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