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1073100145
BAYLOR L GREEN
MARYSVILLE, OH
NPI
1073100145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
Mr. BAYLOR L GREEN
11780 WATKINS RD
MARYSVILLE, OH 43040-8708
Phone number: 937-645-5894
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Mailing Address
Mr. BAYLOR L GREEN
11780 WATKINS RD
MARYSVILLE, OH 43040-8708
Phone number: 937-645-5894
Copy
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