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1720718547
DEZZERAE NUNGESTER
LOGAN, OH
NPI
1720718547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA180957)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
DEZZERAE NUNGESTER CDCA
359 E MAIN ST
LOGAN, OH 43138-1307
Phone number: 740-601-5659
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Mailing Address
DEZZERAE NUNGESTER CDCA
359 E MAIN ST
LOGAN, OH 43138-1307
Phone number: 740-601-5659
Copy
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