DUSTIN JAMES PRIDEMORE

SHELBY, OH
NPI1750887931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date2018-04-05
Last Update Date2018-04-05
Business Address
DUSTIN JAMES PRIDEMORE CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Mailing Address
DUSTIN JAMES PRIDEMORE CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number:
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