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1083127153
GEORGINA EVANGELISTA
WILLOUGHBY, OH
NPI
1083127153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
GEORGINA EVANGELISTA
38882 MENTOR AVE
WILLOUGHBY, OH 44094-7875
Phone number: 440-953-9999
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Mailing Address
GEORGINA EVANGELISTA
38882 MENTOR AVE
WILLOUGHBY, OH 44094-7875
Phone number: 440-953-9999
Copy
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