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1558043828
BEAU RYAN DONAHUE
MUNCIE, IN
NPI
1558043828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN C2-51381)
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
Mr. BEAU RYAN DONAHUE
2208 N VALLEY DR
MUNCIE, IN 47304-9684
Phone number: 615-440-7428
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Mailing Address
Mr. BEAU RYAN DONAHUE
2208 N VALLEY DR
MUNCIE, IN 47304-9684
Phone number: 615-440-7428
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