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1508182379
CHARLES TIPTON
FAIRBORN, OH
NPI
1508182379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-19
Last Update Date
2010-04-19
Business Address
-- CHARLES TIPTON CDCA
600 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH 45324-3995
Phone number: 937-879-3400
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Mailing Address
-- CHARLES TIPTON CDCA
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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