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1528551330
JACQUELINE ANN GORDON
DAYTON, OH
NPI
1528551330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 161448)
Enumeration Date
2018-06-07
Last Update Date
2018-06-16
Business Address
JACQUELINE ANN GORDON
7301 POE AVE
DAYTON, OH 45414-2559
Phone number: 937-280-4631
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Mailing Address
JACQUELINE ANN GORDON
7301 POE AVE
DAYTON, OH 45414-2559
Phone number: 937-280-4631
Copy
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