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1922755727
JARED AUSTIN KIMBALL
COLUMBUS, OH
NPI
1922755727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.179818)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
JARED AUSTIN KIMBALL CDCA
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051
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Mailing Address
JARED AUSTIN KIMBALL CDCA
3944 KARL RD APT A
COLUMBUS, OH 43224-2126
Phone number: 330-523-8739
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