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1992462832
HOLLIE MAE GENTRY
MISHAWAKA, IN
NPI
1992462832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-28
Last Update Date
2021-11-28
Business Address
HOLLIE MAE GENTRY councelor
3006 LINCOLNWAY E
MISHAWAKA, IN 46544-3501
Phone number: 574-213-9550
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Mailing Address
HOLLIE MAE GENTRY councelor
3006 LINCOLNWAY E
MISHAWAKA, IN 46544-3501
Phone number: 574-213-9550
Copy
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