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1669990974
CHARLES RANDOLPH BYRD
DAYTON, OH
NPI
1669990974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-07
Last Update Date
2022-07-21
Business Address
CHARLES RANDOLPH BYRD
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-276-2176
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Mailing Address
CHARLES RANDOLPH BYRD
1 ELIZABETH PLACE
DAYTON, OH 45417
Phone number: 937-276-2176
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