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1477270387
JACOB TYLER O'DELL
CHESAPEAKE, OH
NPI
1477270387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.182427)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
JACOB TYLER O'DELL
11470 COUNTY ROAD 1
CHESAPEAKE, OH 45619-7010
Phone number: 740-451-0074
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Mailing Address
JACOB TYLER O'DELL
11470 COUNTY ROAD 1
CHESAPEAKE, OH 45619-7010
Phone number: 740-451-0074
Copy
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