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1386110815
JAKE BORTON
AUSTINTOWN, OH
NPI
1386110815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-23
Last Update Date
2021-09-09
Business Address
JAKE BORTON
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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Mailing Address
JAKE BORTON
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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