BRIAN DALE FUGATE

HUBER HEIGHTS, OH
NPI1356909568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  168526)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
MR. BRIAN DALE FUGATE CDCA
7811 FERNBANK CT
HUBER HEIGHTS, OH 45424-1905
Phone number: 937-580-4251
Mailing Address
MR. BRIAN DALE FUGATE CDCA
7811 FERNBANK CT
HUBER HEIGHTS, OH 45424-1905
Phone number: 937-580-4251
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