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1104239466
MIRANDA R MEOLA
JEFFERSON, OH
NPI
1104239466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
Mrs. MIRANDA R MEOLA LCDC III
1484 STATE ROUTE 46 N SUITE 7
JEFFERSON, OH 44047-8145
Phone number: 440-624-4033
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Mailing Address
Mrs. MIRANDA R MEOLA LCDC III
1527 W PROSPECT RD
ASHTABULA, OH 44004-6674
Phone number: 440-344-3368
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