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1548925654
DEMETRIUS ALEXANDER FASSAS
BUTTE, MT
NPI
1548925654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
175T00000X Peer Specialist
(Licence: MT BBH-BHPS-CRT-44134)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
DEMETRIUS ALEXANDER FASSAS CBHPSS
609 W GALENA ST
BUTTE, MT 59701-1507
Phone number: 406-640-8069
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Mailing Address
DEMETRIUS ALEXANDER FASSAS CBHPSS
521 N EXCELSIOR AVE
BUTTE, MT 59701-8715
Phone number: 859-200-6861
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