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1881341006
DANIEL RUSTICK
BOYNE FALLS, MI
NPI
1881341006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
DANIEL RUSTICK
2329 CENTER ST
BOYNE FALLS, MI 49713-9268
Phone number: 231-535-2822
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Mailing Address
DANIEL RUSTICK
2329 CENTER ST
BOYNE FALLS, MI 49713-9268
Phone number:
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