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1285085241
L. ALLEN GRECULA
PORTAGE, IN
NPI
1285085241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 86000357A)
Enumeration Date
2016-06-30
Last Update Date
2020-08-19
Business Address
L. ALLEN GRECULA
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number: 219-763-8112
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Mailing Address
L. ALLEN GRECULA
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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