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1730592924
NATHAN CRAGO
XENIA, OH
NPI
1730592924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 131160-2)
Enumeration Date
2014-06-05
Last Update Date
2023-01-17
Business Address
NATHAN CRAGO LICDC
2960 W ENON RD
XENIA, OH 45385-8548
Phone number: 937-272-4925
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Mailing Address
NATHAN CRAGO LICDC
2960 W ENON RD
XENIA, OH 45385-8548
Phone number: 937-272-4925
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