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1225692270
ANTHONY WAYNE SYRUS
GALLIPOLIS, OH
NPI
1225692270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 001229)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
ANTHONY WAYNE SYRUS
499 JACKSON PIKE
GALLIPOLIS, OH 45631-1398
Phone number: 740-446-6471
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Mailing Address
ANTHONY WAYNE SYRUS
266 COLONIAL DR APT 102
BIDWELL, OH 45614-9249
Phone number: 740-709-2009
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