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1578231866
DUSTY DAWKINS
FORT WAYNE, IN
NPI
1578231866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
DUSTY DAWKINS
3282 MALLARD COVE LN
FORT WAYNE, IN 46804-2883
Phone number: 812-558-0574
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Mailing Address
DUSTY DAWKINS
1623 S MAYFIELD DR
FORT WAYNE, IN 46825-3279
Phone number: 317-499-2494
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