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1043722127
JOHNDA RAYNA GILLISPIE
IRONTON, OH
NPI
1043722127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.120808)
Enumeration Date
2017-10-30
Last Update Date
2018-09-07
Business Address
JOHNDA RAYNA GILLISPIE CDCA
700 PARK AVE
IRONTON, OH 45638
Phone number: 740-532-1613
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Mailing Address
JOHNDA RAYNA GILLISPIE CDCA
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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