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1245989821
AUSTIN LUKE ANGEL
BEAVER, WV
NPI
1245989821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
Mr. AUSTIN LUKE ANGEL B.A.
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
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Mailing Address
Mr. AUSTIN LUKE ANGEL B.A.
175 PHILPOTT LN
BEAVER, WV 25813-9501
Phone number: 304-254-9262
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