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Individual
PRISTELL DOGINS III
Active
Individual
PRISTELL DOGINS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405589-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/31/2023
Last updated
02/27/2024
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