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1932742665
JEFFREY SHOUP
DAYTON, OH
NPI
1932742665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
JEFFREY SHOUP
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417-3445
Phone number: 937-401-8672
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Mailing Address
JEFFREY SHOUP
1 ELIZABETH PL STE NWB40
DAYTON, OH 45417-3445
Phone number: 937-401-8672
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