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1689099772
AUSTIN J. GROSS
DAVENPORT, IA
NPI
1689099772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 12055)
Enumeration Date
2014-02-26
Last Update Date
2014-02-26
Business Address
Mr. AUSTIN J. GROSS IADC
2322 E KIMBERLY RD STE 200N
DAVENPORT, IA 52807-7216
Phone number: 563-355-0055
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Mailing Address
Mr. AUSTIN J. GROSS IADC
2322 E KIMBERLY RD STE 200N
DAVENPORT, IA 52807-7216
Phone number: 563-355-0055
Copy
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