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1598954901
JERRY TAYLOR
XENIA, OH
NPI
1598954901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 021296)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
-- JERRY TAYLOR CCDC 1
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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Mailing Address
-- JERRY TAYLOR CCDC 1
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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