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1720819550
MARK JUSTICE
XENIA, OH
NPI
1720819550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.188849)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
MARK JUSTICE
2960 W ENON RD
XENIA, OH 45385-8548
Phone number: 937-272-4925
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Mailing Address
MARK JUSTICE
1019 SKYVIEW DR
DAYTON, OH 45449-1640
Phone number: 937-510-3852
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