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1487182606
OWEN RUSSELL TAYLOR
CLEVELAND, OH
NPI
1487182606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 923209)
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
Mr. OWEN RUSSELL TAYLOR
3030 EUCLID AVE STE 312
CLEVELAND, OH 44115-2518
Phone number: 216-391-0977
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Mailing Address
Mr. OWEN RUSSELL TAYLOR
PO BOX 10844
CLEVELAND, OH 44110-0844
Phone number: 216-391-0977
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