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1497372809
JUSTIN DIETRICH
WARREN, OH
NPI
1497372809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH 174033)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
JUSTIN DIETRICH CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
JUSTIN DIETRICH CDCA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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