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1225805633
SHAUN IAN BURCHETT
COLUMBUS, OH
NPI
1225805633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.186550)
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
SHAUN IAN BURCHETT
246 E CAMPUS VIEW BLVD
COLUMBUS, OH 43235-4634
Phone number: 614-505-3126
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Mailing Address
SHAUN IAN BURCHETT
2033 COTTONWOOD CT
PLAIN CITY, OH 43064-4131
Phone number: 614-736-8303
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