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1750150835
ANTHONY DEWAYNE BANKS
EUCLID, OH
NPI
1750150835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.185314)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
ANTHONY DEWAYNE BANKS
22639 EUCLID AVE
EUCLID, OH 44117-1622
Phone number: 216-404-1900
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Mailing Address
ANTHONY DEWAYNE BANKS
22639 EUCLID AVE
EUCLID, OH 44117-1622
Phone number: 216-404-1900
Copy
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