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1003504440
CHARLES THERONE MACK
TOLEDO, OH
NPI
1003504440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
CHARLES THERONE MACK
500 MADISON AVE
TOLEDO, OH 43604-1222
Phone number: 567-312-8700
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Mailing Address
CHARLES THERONE MACK
1013 JUNCTION AVE
TOLEDO, OH 43607-4051
Phone number: 567-288-9674
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