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1649670696
ROY A. EALY
DETROIT, MI
NPI
1649670696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
Mr. ROY A. EALY AODA
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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Mailing Address
Mr. ROY A. EALY AODA
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
Copy
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