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1477254902
MICHAEL DAVID BISSAILLON
DAYTON, OH
NPI
1477254902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.183808)
Enumeration Date
2023-03-13
Last Update Date
2023-03-13
Business Address
MICHAEL DAVID BISSAILLON CDCA
8015 N MAIN ST
DAYTON, OH 45415-2250
Phone number: 937-427-9102
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Mailing Address
MICHAEL DAVID BISSAILLON CDCA
8015 N MAIN ST
DAYTON, OH 45415-2250
Phone number: 937-427-9102
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