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1407637515
JERRY VANKIRK
GALLIPOLIS, OH
NPI
1407637515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA.186114)
Enumeration Date
2023-10-13
Last Update Date
2023-10-13
Business Address
JERRY VANKIRK CDCA
1134 JACKSON PIKE
GALLIPOLIS, OH 45631-2600
Phone number: 740-446-9129
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Mailing Address
JERRY VANKIRK CDCA
1086 JACKSON PIKE
GALLIPOLIS, OH 45631-1396
Phone number: 740-446-9129
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