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1528665403
MIKE VACCA LLC
COLUMBUS, OH
NPI
1528665403
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Entity Type
Organization
Authorized Contact
MICHAEL VACCA
Owner
614-364-6275
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
MIKE VACCA LLC
1500 W 3RD AVE
COLUMBUS, OH 43212-2843
Phone number: 614-364-6275
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Mailing Address
MIKE VACCA LLC
129 SHAWNEE DR
PICKERINGTON, OH 43147-8058
Phone number: 614-364-6275
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