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1952036733
GEOFFREY S FANNIN
PORTSMOUTH, OH
NPI
1952036733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.1800093)
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
Mr. GEOFFREY S FANNIN
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 740-901-0416
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Mailing Address
Mr. GEOFFREY S FANNIN
1616 GRANT ST
PORTSMOUTH, OH 45662-3663
Phone number: 937-260-5652
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