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1982471801
DALLACE WOMBLE
DAYTON, OH
NPI
1982471801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH CDCA185956)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
DALLACE WOMBLE CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 800-829-5461
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Mailing Address
DALLACE WOMBLE CDCA
816 WASHINGTON AVE
FAIRBORN, OH 45324-3840
Phone number:
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