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1669826509
JUSTIN KYLE SHORT
MILFORD, OH
NPI
1669826509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 150465)
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
Mr. JUSTIN KYLE SHORT CDCA
50 WEST TECHNE DR. SUITE B-5
MILFORD, OH 45150
Phone number: 513-753-9964
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Mailing Address
Mr. JUSTIN KYLE SHORT CDCA
50 WEST TECHNE DR. SUITE B-5
MILFORD, OH 45150
Phone number: 513-753-9964
Copy
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