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1023515020
JESSICA LONG
FAIRLAWN, OH
NPI
1023515020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2018-04-07
Last Update Date
2018-04-07
Business Address
JESSICA LONG QMHS-BA
3094 W MARKET ST STE 105
FAIRLAWN, OH 44333-3617
Phone number: 440-260-2916
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Mailing Address
JESSICA LONG QMHS-BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number:
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