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1992333983
CHARLOTTE LYBURTUS
XENIA, OH
NPI
1992333983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 172680)
Enumeration Date
2020-03-27
Last Update Date
2020-09-02
Business Address
CHARLOTTE LYBURTUS
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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Mailing Address
CHARLOTTE LYBURTUS
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
Copy
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